Rehabilitation of amblyopia using a digital platform for visual training combined with patching in children: a prospective study
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Título: | Rehabilitation of amblyopia using a digital platform for visual training combined with patching in children: a prospective study |
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Autor/es: | Hernández Rodríguez, Carlos J. | Ferrer-Soldevila, Patricia | Artola, Alberto | Piñero, David P. |
Grupo/s de investigación o GITE: | Grupo de Óptica y Percepción Visual (GOPV) |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Óptica, Farmacología y Anatomía |
Palabras clave: | Amblyopia | Perceptual learning | Dichoptic therapy | Patching | Visual training |
Fecha de publicación: | 5-abr-2024 |
Editor: | Springer Nature |
Cita bibliográfica: | Graefe's Archive for Clinical and Experimental Ophthalmology. 2024. https://doi.org/10.1007/s00417-024-06475-0 |
Resumen: | Purpose To assess the possible benefits of the use of perceptual learning and dichoptic therapy combined with patching in children with amblyopia over the use of only patching. Methods Quasi-experimental multicentric study including 52 amblyopic children. Patients who improved their visual acuity (VA) by combining spectacles and patching were included in patching group (PG: 20 subjects), whereas those that did not improved with patching performed visual training (perceptual learning + dichoptic therapy) combined with patching, being assigned to the visual treatment group (VT: 32 subjects). Changes in VA, contrast sensitivity (CS), and stereopsis were monitored during a 6-month follow-up in each group. Results Significant improvements in VA were found in both groups at 1 month (p < 0.01). The total improvement of VA was 0.18 ± 0.16 and 0.31 ± 0.35 logMAR in PG and VT groups, respectively (p = 0.317). The Wilcoxon effect size was slightly higher in VT (0.48 vs. 0.54) at 6 months. An enhancement in CS was observed in the amblyopic eye of the VT group for all spatial frequencies at 1 month (p < 0.001). Likewise, the binocular function score also increased significantly in VT group (p = 0.002). A prediction equation of VA improvement at 1 month in VT group was obtained by multiple linear regression analysis (p < 0.001, R2 = 0.747). Conclusions A combined treatment of visual training and patching is effective for obtaining a predictable improvement of VA, CS, and binocularity in patching-resistant amblyopic children. |
Patrocinador/es: | Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. |
URI: | http://hdl.handle.net/10045/142086 |
ISSN: | 0721-832X (Print) | 1435-702X (Online) |
DOI: | 10.1007/s00417-024-06475-0 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
Revisión científica: | si |
Versión del editor: | https://doi.org/10.1007/s00417-024-06475-0 |
Aparece en las colecciones: | INV - GOPV - Artículos de Revistas |
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Hernandez-Rodriguez_etal_2024_GraefesArchClinExpOphthalmol.pdf | 2,05 MB | Adobe PDF | Abrir Vista previa | |
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