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Updated: May 31, 2026

The Measurement and Treatment of Suppression in Amblyopia
Published on: December 14, 2012
Amblyopia
Stephanie West1, Cathy Williams
1Bristol Eye Hospital, Bristol, UK.
Insights
This review examines treatments for amblyopia (lazy eye), including vision therapy and glasses, and discusses early detection through screening. Evidence quality was assessed using GRADE.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Evidence-Based Medicine
Background:
- Amblyopia, or lazy eye, affects 2-4% of children and is linked to strabismus or refractive errors during critical visual development periods.
- Early visual development (under 7-8 years) is sensitive to differing visual inputs between eyes.
Purpose of the Study:
- To systematically review the effectiveness and safety of amblyopia interventions.
- To evaluate treatments such as vision therapy, glasses, occlusion, and penalization.
- To assess the efficacy of screening methods for early amblyopia detection.
Main Methods:
- A systematic review was conducted, searching major databases up to May 2010.
- Included studies comprised systematic reviews, randomized controlled trials (RCTs), and observational studies.
- Harms alerts from regulatory agencies were also incorporated.
Main Results:
- 33 relevant studies met the inclusion criteria.
- The GRADE system was used to evaluate the quality of evidence for interventions.
- Information on effectiveness and safety of various treatments and screening was compiled.
Conclusions:
- The review synthesizes evidence on active vision therapy, glasses (with or without occlusion/penalization), and screening for amblyopia.
- Effectiveness and safety data are presented for these interventions.
- The findings support informed clinical decision-making regarding amblyopia management.
Introduction:
Amblyopia is commonly associated with squint (strabismus) or refractive errors resulting in different visual inputs to each eye during the sensitive period of visual development (<7-8 years of age). The cumulative incidence is estimated at 2% to 4% in children aged up to 15 years.
Methods And Outcomes:
We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of interventions to detect amblyopia early? What are the effects of medical treatments for amblyopia? We searched: Medline, Embase, The Cochrane Library, and other important databases up to May 2010 (Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations, such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
Results:
We found 33 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
Conclusions:
In this systematic review, we present information relating to the effectiveness and safety of the following interventions: active vision therapy; glasses alone or with occlusion; or penalisation to treat amblyopia; and screening to detect amblyopia early.
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