Barriers to successful dichoptic treatment for amblyopia in young children

• DOI: 10.1007/s00417-021-05193-1
• Publication Date: 2021-05-31T10:10:17Z
• Authors: Aveen Kadhum; Emily T. C. Tan; Dennis M. Levi; Linda Colpa; Maria Fronius; Huibert J. Simonsz; Sjoukje E. Loudon
• Keywords: Adolescent; Vision; Clinical Trials and Supportive Activities; Visual Acuity; Ophthalmology & Optometry; Amblyopia; Pediatrics; 03 medical and health sciences; 0302 clinical medicine; Clinical Research; Opthalmology and Optometry; Dichoptic treatment; Humans; Preschool; Child; Ophthalmology and Optometry; Barriers to successful treatment; Pediatric; Vision, Binocular; Biomedical and Clinical Sciences; Ophthalmology and optometry; Binocular; Brain Disorders; 3. Good health; Strabismus; Video Games; Child, Preschool; Sensory Deprivation

In an ongoing randomised clinical trial comparing dichoptic VR video games with patching for amblyopia, we evaluated any potential barriers to successful use of this novel amblyopia treatment method.From December 2017, all newly diagnosed amblyopic children were recruited. Excluded under age 4 and patients strabismus exceeding 30PD. The game was played 1 h per week at the outpatient clinic direct supervision. Records kept difficulties encountered during categorised into domains. Factors influencing completion identified related patient characteristics.Ninety-one recruited trial, 20 parents refused participation before randomisation, because logistical challenges would cause them. Of 17 who commenced (median 6.2 years; IQR 4.9-8.4 years), 10 did not complete treatment. Children 5.5 years unable comprehend settings or itself. Older (N = 7; 41%) less willing comply game. Loss interest in 8; 47%) found be a limiting factor ages.Half failed treatment, mainly due young age. countries nationwide screening where is detected 6, applicability such limited.