Review of amblyopia treatment: Are we overtreating children with amblyopia?

Aim: Amblyopia is a common reason for outpatient treatment in childhood. This review aims to providean overview of recent research on amblyopia treatment. Methods: A literature-based review was carried out of evidence available on amblyopia management with additional personal comments on some issues...

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Main Author: Michael P. Clarke
Format: Article
Language:English
Published: White Rose University Press 2007-08-01
Series:British and Irish Orthoptic Journal
Subjects:
Online Access:https://www.bioj-online.com/articles/17
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author Michael P. Clarke
author_facet Michael P. Clarke
author_sort Michael P. Clarke
collection DOAJ
description Aim: Amblyopia is a common reason for outpatient treatment in childhood. This review aims to providean overview of recent research on amblyopia treatment. Methods: A literature-based review was carried out of evidence available on amblyopia management with additional personal comments on some issues. Results: Recent research evidence has shown that: refractive adaptation is a significant component of the therapeutic response, compliance with patching is problematic, most of the response to patching occurs within 6–8 weeks, and recurrence after cessation of treatment is less frequent if patching is weaned. However, this evidence from clinical trials has yet to be fully incorporated into practice: we are overtreating children. Conclusions: Utilising information gleaned from recent research will enable clinicians to reduce the amount of patching which children being treated for amblyopia receive, with benefits to compliance with treatment and use of health service resources.
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spelling doaj.art-37361c49ce284b729edf362910e525702022-12-21T22:36:47ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902007-08-0173710.22599/bioj.1716Review of amblyopia treatment: Are we overtreating children with amblyopia?Michael P. Clarke0Newcastle upon Tyne NHS Foundation Trust and Institute of Neuroscience, Newcastle University, Newcastle upon TyneAim: Amblyopia is a common reason for outpatient treatment in childhood. This review aims to providean overview of recent research on amblyopia treatment. Methods: A literature-based review was carried out of evidence available on amblyopia management with additional personal comments on some issues. Results: Recent research evidence has shown that: refractive adaptation is a significant component of the therapeutic response, compliance with patching is problematic, most of the response to patching occurs within 6–8 weeks, and recurrence after cessation of treatment is less frequent if patching is weaned. However, this evidence from clinical trials has yet to be fully incorporated into practice: we are overtreating children. Conclusions: Utilising information gleaned from recent research will enable clinicians to reduce the amount of patching which children being treated for amblyopia receive, with benefits to compliance with treatment and use of health service resources.https://www.bioj-online.com/articles/17AmblyopiaAtropineRandomised controlled trialsTreatment
spellingShingle Michael P. Clarke
Review of amblyopia treatment: Are we overtreating children with amblyopia?
British and Irish Orthoptic Journal
Amblyopia
Atropine
Randomised controlled trials
Treatment
title Review of amblyopia treatment: Are we overtreating children with amblyopia?
title_full Review of amblyopia treatment: Are we overtreating children with amblyopia?
title_fullStr Review of amblyopia treatment: Are we overtreating children with amblyopia?
title_full_unstemmed Review of amblyopia treatment: Are we overtreating children with amblyopia?
title_short Review of amblyopia treatment: Are we overtreating children with amblyopia?
title_sort review of amblyopia treatment are we overtreating children with amblyopia
topic Amblyopia
Atropine
Randomised controlled trials
Treatment
url https://www.bioj-online.com/articles/17
work_keys_str_mv AT michaelpclarke reviewofamblyopiatreatmentareweovertreatingchildrenwithamblyopia