Basir Eye health Research Center
  • Register
  • Login

Journal of Ophthalmic and Optometric Sciences

  • Home
  • About
    • About the Journal
    • Editorial Policies
    • Indexing & Abstracting
    • Privacy Statement
  • Current Issue
  • Archives
  • Editorial Team
  • Ethical Considerations
  • Copy Right Form
  • Author Guidelines
  • Submit Article
  • COPE Compliance
  • Contact
Advanced Search
  1. Home
  2. Archives
  3. Vol. 8 No. 3 (2024): Summer
  4. Original Articles

Vol. 8 No. 3 (2024)

July 2024

Effects of Patching in Treating Anisometropic Amblyopia in Adults: A Clinic Based Cohort Study Effects of Patching Therapy in Amblyopia

  • Vishal Biswas
  • Abhishek Raut
  • Amrit

Journal of Ophthalmic and Optometric Sciences, Vol. 8 No. 3 (2024), 12 July 2024 , Page 7-13
https://doi.org/10.22037/joos.v8i3.45934 Published: 2025-05-19

  • View Article
  • Download
  • Cite
  • References
  • Statastics
  • Share

Abstract

Purpose:
To assess the efficacy of patching therapy in people with unilateral anisometropic amblyopia in adults.

Methods:
The research was conducted at Visifert Eye Clinic in Noida, India, from August 2023 to May 2024, involved 28 adults with unilateral anisometropic amblyopia. Those who were at least eighteen years old met the inclusion requirements, a spherical equivalent less than -3.00D, best habitual visual acuity between 0.3 logMAR and 1.0 logMAR in the amblyopic eye, and logMAR 0.2 or better in the fellow eye. Participants underwent cycloplegic refraction and were given corrective spectacles to wear for one month. If no improvement was observed, patching treatment commenced, involving 3 hours of daily occlusion for 8 weeks. Visual acuity was assessed at the start and end of the treatment.

Results:
Out of 28 subjects, vision improved in 26 (92.85%) and did not improve in 2 (7.14%) after 6 weeks of patching therapy. The 17-20 age group showed 100% improvement, 20-24 age group had 92.85% improvement, and the 25 and above age group had 50% improvement. The overall mean visual improvement was 1.03 ± 0.944 lines on the log MAR chart.

Conclusion:
The study demonstrates that patching therapy leads to significant visual acuity improvement in adults with unilateral anisometropic amblyopia in the 18-20 age group. The results demonstrate the possibility of patching therapy beyond childhood, despite the limited sample size, and reinforce the necessity for bigger sample sizes in future studies to corroborate these findings.

Keywords:
  • Anisometropic amblyopia
  • patching therapy,
  • visual acuity
  • pdf

How to Cite

Biswas, V., Raut, A., & Amrit. (2025). Effects of Patching in Treating Anisometropic Amblyopia in Adults: A Clinic Based Cohort Study: Effects of Patching Therapy in Amblyopia. Journal of Ophthalmic and Optometric Sciences, 8(3), 7–13. https://doi.org/10.22037/joos.v8i3.45934
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

References

Emmanuel BU, BURNS JG, THOMPSON B. Amblyopia: A review of unmet needs, current treatment options, and emerging therapies. Survey of Ophthalmology. 2023 May 1;68(3):507-25.

Mocanu V, Horhat R. Prevalence and risk factors of amblyopia among refractive errors in an Eastern European population. Med (Kaunas) 2018; 54(1): 6-10

Williams C, Northstone K, Howard M, Harvey I, Harrad RA. Prevalence and risk factors for common vision problems in children: Data from ALSPAC study. Br J Ophthalmol 2008; 92(1): 959-964

Kamal Pant et.al. Prevalence of persistent refractive amblyopia amongst school-children in North India: a population-based observational study of childhood visual deficit and its correlation with heterophoria & NPC

Tripathi A et al., Assess the Awareness and Attitude about Amblyopia in North-Western Universities and Colleges academicians of India. Asian Journal of Medical and Health Research 2022

Kelkar, Jai; Kelkar, Aditya1; Thakur, Prajakta; Jain, Harsh H.; Kelkar, Shreekant. The epidemiology and disease pattern of pediatric ocular morbidities in Western India: The National Institute of OphthalMology AmBlyopia StUdy in Indian Paediatric EyeS (NIMBUS) study report 1. Indian Journal of Ophthalmology 71(3):p 941-945, March 2023. | DOI: 10.4103/IJO.IJO_2759_22

Wright KW. Handbook of pediatric strabismus and amblyopia. New York. Springer 2006, [Internet] Available from: https://www. springer.com/gp/book/9780387279244 (Accessed at: 29 Oct 2020).

Angell LK, Robb RM, Berson FG. Visual prognosis in patients with ruptures in Descemet's membrane due to forceps injuries. Arch Ophthalmol 1981; 99(12): 2137-2139

Weakley DR. The association between non strabismic anisometropic, amblyopia, and subnormal binocularity. Ophthalmol 2001; 108(1): 163-171.

Agnes MF. New concepts concerning the neural mechanisms of amblyopia and their clinical implications. Can J Ophthalmol 2012; 47(5): 399-409

Park SH. Current management of childhood amblyopia. Korean J Ophthalmol 2019; 33(6): 557-568

Tailor V, Bossi M, Greenwood JA. Childhood amblyopia: current management and new trends. Br Med Bull 2016; 119(1): 75–86

Informed Health. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006. Lazy eye (amblyopia) in children: What are the treatment options for lazy eye (amblyopia)? [Updated 2020 Jun 4], [Internet] Available from: https://www. ncbi.nlm.nih.gov/books/NBK279463/ (Accessed at: 29 Oct 2020)

Gopal SK, Kelkar J, Kelkar A, Pandit A. Simplified updates on the pathophysiology and recent developments in the treatment of amblyopia: A review. Nat Inst Ophthalmol 2019; 67(9): 1392-1399

Wallace DK, Lazar EL, Crouch ER. Time course and predictors of amblyopia improvement with 2 hours of daily patching. J Am Med Assoc Ophthalmol 2015; 133(1): 606-609

Kraus CL, Culican SM. New advances in amblyopia therapy I: binocular therapies and pharmacologic augmentation. Br J Ophthalmol 2018; 102(1): 1492-1496

Holmes JM , Manh VM. Effect of a binocular ipad game vs part-time patching in children aged 5-12 years with amblyopia: a randomized clinical trial. J Am Med Assoc Ophthalmol 2016; 134(2): 1391-40

Manh VM, Holmes JM, Lazar EL. Pediatric eye disease investigator group. a randomized trial of a binocular ipad game versus part-time patching in children aged 13 to 16 years with amblyopia. Am J Ophthalmol 2018; 186(1): 104-115

Sauvan L, Stolowy N, Denis D, Matonti F, Chavane F, Robert F, et al. Contribution of short-time occlusion of the amblyopic eye to a passive dichoptic video treatment for amblyopia beyond the critical period. Hindawi 2019; rticle ID 6208414, [Internet] Available at https://doi.org/10.1155/2019/6208414

Wallace DK, Repka MX, Lee KA, Morse CL. Amblyopia preferred practice pattern®. Ophthalmol 2018; 125(1): 105-142

Al-Haddad C, Ismail K, Jurdi KW, Keaik M. Clinical profile and treatment outcomes of amblyopia across age groups. Middle East Afr J Ophthalmol 2019; 26(2): 71-76

Marianne EF, Anita J. Simmers. It’s too late’. Is it really? Considerations for amblyopia treatment in older children. Ther Adv Ophthalmol 2019; 11(1): 2515841419857379

Guo CX, Babu RJ, Black JM. Binocular treatment of amblyopia using videogames (BRAVO): study protocol for a randomised controlled trial BMC. Trials 2016; 17(1): 504-513

  • Abstract Viewed: 199 times
  • pdf Downloaded: 129 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact
Powered by OJSPlus