Standard Amblyopia Therapy in Adult Amblyopes
1 other identifier
observational
9
0 countries
N/A
Brief Summary
Amblyopia is characterized by a reduction in visual acuity, contrast sensitivity, and binocular visual functions. The two main causes of amblyopia are anisometropia and strabismus which alter the synaptic connections between neurons along the visual pathway. Current treatment for amblyopia has indicated that the younger the amblyope, the greater the effect of treatment. The purpose of this study is to determine if standard amblyopia treatment improved visual acuity in adult amblyopes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Dec 2014
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 16, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 24, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
October 24, 2016
CompletedFirst Submitted
Initial submission to the registry
November 9, 2017
CompletedFirst Posted
Study publicly available on registry
November 14, 2017
CompletedNovember 17, 2017
November 1, 2017
1.9 years
November 9, 2017
November 13, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
visual acuity
LogMAR acuity will be measured with the eETDRS chart
24 weeks
Interventions
Any of the following amblyopia training activities may be employed during patching: board games, card games, coloring in O's, comic books, craft projects, crossword puzzles, dot-to-dot patterns, drawing, hammering nails, jacks, jigsaw puzzles, lego and other blocks, marbles, mazes, peg-board activities, perceptual materials, pickup sticks, reading, sewing, shooting games, stringing beads, throwing or hitting games, tracing, and video or computer games.
Eligibility Criteria
Subjects will be recruited from the College community and University Eye Clinic. An announcement will be made to the College community and volunteers accepted.
You may qualify if:
- Amblyopic patients with acuities between 20/40 (0.30 logMAR) and 20/400 (1.30 logMAR).
- All subjects will be over the age of 18.
You may not qualify if:
- Subjects will be recruited from the College community and University Eye Clinic.
- A significant cataract that affects vision.
- Glaucoma, diabetes, uncontrolled high blood pressure.
- Other ocular or systemic diseases that will affect visual acuity.
- The inability to give informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (12)
von Noorden GK. Amblyopia: a multidisciplinary approach. Proctor lecture. Invest Ophthalmol Vis Sci. 1985 Dec;26(12):1704-16.
PMID: 3934105BACKGROUNDMichaels DD. Visual optics and refraction: a clinical approach. St Louis, MO: C.V. Mosby Co.; 1980.
BACKGROUNDCrawford ML, Blake R, Cool SJ, von Noorden GK. Physiological consequences of unilateral and bilateral eye closure in macaque monkeys: some further observations. Brain Res. 1975 Jan 24;84(1):150-4. doi: 10.1016/0006-8993(75)90809-4. No abstract available.
PMID: 1111823BACKGROUNDHubel DH, Wiesel TN, LeVay S. Plasticity of ocular dominance columns in monkey striate cortex. Philos Trans R Soc Lond B Biol Sci. 1977 Apr 26;278(961):377-409. doi: 10.1098/rstb.1977.0050. No abstract available.
PMID: 19791BACKGROUNDStewart CE, Moseley MJ, Stephens DA, Fielder AR. Treatment dose-response in amblyopia therapy: the Monitored Occlusion Treatment of Amblyopia Study (MOTAS). Invest Ophthalmol Vis Sci. 2004 Sep;45(9):3048-54. doi: 10.1167/iovs.04-0250.
PMID: 15326120BACKGROUNDRepka MX, Beck RW, Holmes JM, Birch EE, Chandler DL, Cotter SA, Hertle RW, Kraker RT, Moke PS, Quinn GE, Scheiman MM; Pediatric Eye Disease Investigator Group. A randomized trial of patching regimens for treatment of moderate amblyopia in children. Arch Ophthalmol. 2003 May;121(5):603-11. doi: 10.1001/archopht.121.5.603.
PMID: 12742836BACKGROUNDHolmes JM, Kraker RT, Beck RW, Birch EE, Cotter SA, Everett DF, Hertle RW, Quinn GE, Repka MX, Scheiman MM, Wallace DK; Pediatric Eye Disease Investigator Group. A randomized trial of prescribed patching regimens for treatment of severe amblyopia in children. Ophthalmology. 2003 Nov;110(11):2075-87. doi: 10.1016/j.ophtha.2003.08.001.
PMID: 14597512BACKGROUNDHolmes JM, Edwards AR, Beck RW, Arnold RW, Johnson DA, Klimek DL, Kraker RT, Lee KA, Lyon DW, Nosel ER, Repka MX, Sala NA, Silbert DI, Tamkins S; Pediatric Eye Disease Investigator Group. A randomized pilot study of near activities versus non-near activities during patching therapy for amblyopia. J AAPOS. 2005 Apr;9(2):129-36. doi: 10.1016/j.jaapos.2004.12.014.
PMID: 15838439BACKGROUNDHolmes JM, Lazar EL, Melia BM, Astle WF, Dagi LR, Donahue SP, Frazier MG, Hertle RW, Repka MX, Quinn GE, Weise KK; Pediatric Eye Disease Investigator Group. Effect of age on response to amblyopia treatment in children. Arch Ophthalmol. 2011 Nov;129(11):1451-7. doi: 10.1001/archophthalmol.2011.179. Epub 2011 Jul 11.
PMID: 21746970BACKGROUNDLevi DM, Li RW. Perceptual learning as a potential treatment for amblyopia: a mini-review. Vision Res. 2009 Oct;49(21):2535-49. doi: 10.1016/j.visres.2009.02.010. Epub 2009 Feb 27.
PMID: 19250947BACKGROUNDLevi DM, Li RW. Improving the performance of the amblyopic visual system. Philos Trans R Soc Lond B Biol Sci. 2009 Feb 12;364(1515):399-407. doi: 10.1098/rstb.2008.0203.
PMID: 19008199BACKGROUNDRidder WH 3rd, Rouse MW. Predicting potential acuities in amblyopes: predicting post-therapy acuity in amblyopes. Doc Ophthalmol. 2007 May;114(3):135-45. doi: 10.1007/s10633-007-9048-y. Epub 2007 Feb 20.
PMID: 17310345BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
William Ridder, OD, PhD
Southern California College of Optometry at Marshall B. Ketchum University
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 9, 2017
First Posted
November 14, 2017
Study Start
December 16, 2014
Primary Completion
October 24, 2016
Study Completion
October 24, 2016
Last Updated
November 17, 2017
Record last verified: 2017-11