Factors affecting the benefit of glasses alone in treating childhood amblyopia: an analysis of PEDIG data
Abstract Background To evaluate factors associated with better outcomes from optical treatment alone in amblyopic children from 3 up to 7 years. Methods Data extracted from two studies with similar protocols, Amblyopic Treatment Studies 5 (n = 152) and 13 (n = 128) from the Pediatric Eye Disease Inv...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-023-03116-8 |
| _version_ | 1797577400258658304 |
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| author | Rosa Hernández-Andrés María Josefa Luque Miguel-Ángel Serrano Andrew Scally Brendan T Barrett |
| author_facet | Rosa Hernández-Andrés María Josefa Luque Miguel-Ángel Serrano Andrew Scally Brendan T Barrett |
| author_sort | Rosa Hernández-Andrés |
| collection | DOAJ |
| description | Abstract Background To evaluate factors associated with better outcomes from optical treatment alone in amblyopic children from 3 up to 7 years. Methods Data extracted from two studies with similar protocols, Amblyopic Treatment Studies 5 (n = 152) and 13 (n = 128) from the Pediatric Eye Disease Investigator Group database, were used to determine by regression analysis the factors associated with improvements in visual acuity in the amblyopic eye, inter-ocular visual acuity difference and stereoacuity. Input variables were aetiology of amblyopia (anisometropic, strabismic and combined-mechanism amblyopia), treatment compliance, visual acuity, interocular visual acuity difference, stereoacuity, tropia size at distance and near, age and refractive error at baseline. Results Despite the range of clinical factors considered, our models explain only a modest proportion of the variance in optical treatment outcomes. The better predictors of the degree of optical treatment success in amblyopic children are visual acuity of the amblyopic eye, interocular visual acuity difference, stereoacuity, treatment compliance and the amblyopic eye spherical-equivalent refractive error. While the aetiology of the amblyopia does not exert a major influence upon treatment outcome, combined-mechanism amblyopes experience the smallest improvement in visual acuity, tropia and stereoacuity and may need longer optical treatment periods. Conclusions While results identify the factors influencing optical treatment outcome in amblyopic children, clinicians will be unable to predict accurately the benefits of optical treatment in individual patients. Whether this is because relevant clinical or non-clinical factors (e.g. nature and volume of daily activities undertaken) influences the outcomes from optical treatment has not yet been identified and remains to be discovered. |
| first_indexed | 2024-03-10T22:07:44Z |
| format | Article |
| id | doaj.art-c42664ac6d124d769952968c17afaa3f |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-10T22:07:44Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-c42664ac6d124d769952968c17afaa3f2023-11-19T12:45:02ZengBMCBMC Ophthalmology1471-24152023-09-0123111210.1186/s12886-023-03116-8Factors affecting the benefit of glasses alone in treating childhood amblyopia: an analysis of PEDIG dataRosa Hernández-Andrés0María Josefa Luque1Miguel-Ángel Serrano2Andrew Scally3Brendan T Barrett4Department of Optics and Optometry and Vision Science, University of ValenciaDepartment of Optics and Optometry and Vision Science, University of ValenciaDepartment of Psychobiology, University of ValenciaSchool of Clinical Therapies, University College CorkSchool of Optometry & Vision Science, Phoenix South West Building, University of BradfordAbstract Background To evaluate factors associated with better outcomes from optical treatment alone in amblyopic children from 3 up to 7 years. Methods Data extracted from two studies with similar protocols, Amblyopic Treatment Studies 5 (n = 152) and 13 (n = 128) from the Pediatric Eye Disease Investigator Group database, were used to determine by regression analysis the factors associated with improvements in visual acuity in the amblyopic eye, inter-ocular visual acuity difference and stereoacuity. Input variables were aetiology of amblyopia (anisometropic, strabismic and combined-mechanism amblyopia), treatment compliance, visual acuity, interocular visual acuity difference, stereoacuity, tropia size at distance and near, age and refractive error at baseline. Results Despite the range of clinical factors considered, our models explain only a modest proportion of the variance in optical treatment outcomes. The better predictors of the degree of optical treatment success in amblyopic children are visual acuity of the amblyopic eye, interocular visual acuity difference, stereoacuity, treatment compliance and the amblyopic eye spherical-equivalent refractive error. While the aetiology of the amblyopia does not exert a major influence upon treatment outcome, combined-mechanism amblyopes experience the smallest improvement in visual acuity, tropia and stereoacuity and may need longer optical treatment periods. Conclusions While results identify the factors influencing optical treatment outcome in amblyopic children, clinicians will be unable to predict accurately the benefits of optical treatment in individual patients. Whether this is because relevant clinical or non-clinical factors (e.g. nature and volume of daily activities undertaken) influences the outcomes from optical treatment has not yet been identified and remains to be discovered.https://doi.org/10.1186/s12886-023-03116-8AmblyopiaOptical treatmentVisual acuityStereoacuityInterocular difference |
| spellingShingle | Rosa Hernández-Andrés María Josefa Luque Miguel-Ángel Serrano Andrew Scally Brendan T Barrett Factors affecting the benefit of glasses alone in treating childhood amblyopia: an analysis of PEDIG data BMC Ophthalmology Amblyopia Optical treatment Visual acuity Stereoacuity Interocular difference |
| title | Factors affecting the benefit of glasses alone in treating childhood amblyopia: an analysis of PEDIG data |
| title_full | Factors affecting the benefit of glasses alone in treating childhood amblyopia: an analysis of PEDIG data |
| title_fullStr | Factors affecting the benefit of glasses alone in treating childhood amblyopia: an analysis of PEDIG data |
| title_full_unstemmed | Factors affecting the benefit of glasses alone in treating childhood amblyopia: an analysis of PEDIG data |
| title_short | Factors affecting the benefit of glasses alone in treating childhood amblyopia: an analysis of PEDIG data |
| title_sort | factors affecting the benefit of glasses alone in treating childhood amblyopia an analysis of pedig data |
| topic | Amblyopia Optical treatment Visual acuity Stereoacuity Interocular difference |
| url | https://doi.org/10.1186/s12886-023-03116-8 |
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