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Related Experiment Video

Updated: Jun 24, 2026

The Measurement and Treatment of Suppression in Amblyopia
08:34

The Measurement and Treatment of Suppression in Amblyopia

Published on: December 14, 2012

Reverse amblyopia with atropine treatment.

Bryan C Hainline1, Derek C Sprunger, David A Plager

  • 1Department of Ophthalmology Indiana University, Indianapolis, Indiana 46290, USA.

Binocular Vision & Strabismus Quarterly
|March 28, 2009
PubMed
Summary
This summary is machine-generated.

Amblyopia treatments including atropine, occlusion, and combined therapy showed similar vision improvements. Younger, highly hyperopic patients with strabismic amblyopia on daily atropine faced higher risks of reverse amblyopia.

Related Experiment Videos

Last Updated: Jun 24, 2026

The Measurement and Treatment of Suppression in Amblyopia
08:34

The Measurement and Treatment of Suppression in Amblyopia

Published on: December 14, 2012

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Vision Science

Background:

  • Amblyopia treatment effectiveness is established for occlusion, pharmacologic penalization, and combined therapy.
  • Concerns exist regarding treatment effectiveness and complications without standardized protocols.

Purpose of the Study:

  • To evaluate the effectiveness and complications of different amblyopia treatment modalities in a community-based ophthalmology practice.
  • To identify risk factors for reverse amblyopia development.

Main Methods:

  • Retrospective chart review of 133 patients treated for amblyopia.
  • Evaluated treatments included occlusion only, atropine penalization, and combined occlusion and atropine.
  • Defined reverse amblyopia as a 3 LogMar unit worsening of the sound eye's visual acuity post-treatment.

Main Results:

  • Vision improvement after 6 months and 1 year was comparable across atropine, occlusion, and combined therapy groups.
  • Eight patients (6%) developed reverse amblyopia; these were younger (mean age 3.5 years), had strabismic amblyopia, and significant hyperopic refractive errors.
  • Reverse amblyopia did not occur in the occlusion-only group.

Conclusions:

  • Atropine, patching, and combination therapy are equally effective for amblyopia treatment in this setting.
  • Young, highly hyperopic children with dense, strabismic amblyopia on daily atropine are at increased risk for reverse amblyopia.