Visual Performance of Children with Amblyopia after 6 Weeks of Home-Based Dichoptic Visual Training

• Published in: Children (Basel) Vol. 11; no. 8; p. 1007
• Main Authors: Piñero, David P., Gil-Casas, Amparo, Hurtado-Ceña, Francisco J., Molina-Martin, Ainhoa
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 01.08.2024; MDPI
• Subjects: Amblyopia; anisometropia; binocular function; Computer platforms; dichoptic training; Pediatrics; perceptual learning; Personal computers; Software; Strabismus; vision therapy; Spain; Mumbai India; India; binocular function; anisometropia; perceptual learning; amblyopia; dichoptic training; vision therapy
• ISSN: 2227-9067; 2227-9067
• DOI: 10.3390/children11081007

Objectives: This study was aimed at analyzing the efficacy on the improvement of the visual function of a dichoptic online cloud-based platform for the treatment of amblyopia in anisometropic children. Methods: A quasi-experimental (pretest–post-test) study was conducted in 23 subjects with ages from 5 to 15 years old with anisometropic amblyopia combined with additional presence (2 subjects) or not (21 subjects) of microtropia. A total of 30 home-based training sessions of 30 min per session with Bynocs® platform were prescribed for 6 weeks. Results: Amblyopic eye logMAR visual acuity (VA) significantly improved from 0.28 ± 0.24 to 0.13 ± 0.20 after the 6-week treatment (p < 0.001). At baseline, 60.9% of participants had VA in amblyopic eye of 0.20 logMAR or worse, whereas this percentage decreased to 21.7% after treatment. Binocular function (BF) significantly improved from 2.82 ± 1.11 to 2.32 ± 0.94 (p < 0.001). Mean compliance was 92%, 87% and 93% at 2, 4 and 6 weeks of treatment, respectively. Conclusions: In conclusion, home-based dichoptic training with the digital platform evaluated is an effective method to improve amblyopic VA and stereoacuity in children with anisometropic amblyopia combined or not with microtropia.