The outcome of combining home based and clinic based amblyopia therapy among preschool children

O Rokiah1, V F Knight, A H Duratul

  • 1Universiti Kebangsaan Malaysia, Faculty of Health Sciences, School of Healthcare Sciences, Optometry & Vision Science Programme, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Wilayah Persekutuan, Malaysia. r_omar@fsk.ukm.my.

Insights

Combining home and clinic-based amblyopia therapy significantly improved visual acuity (VA) in preschool children. This 12-week treatment approach demonstrated positive outcomes for young patients with amblyopia.

Area of Science:

  • Ophthalmology
  • Pediatric Optometry

Background:

  • Amblyopia, or 'lazy eye,' is a common cause of reduced vision in children.
  • Early intervention is crucial for effective amblyopia treatment outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of a combined home-based and clinic-based amblyopia therapy in preschool children.
  • To assess changes in visual acuity (VA) following the integrated therapeutic approach.

Main Methods:

  • A cohort of 479 preschool children underwent vision screening.
  • Children with uncorrected refractive amblyopia received 12 weeks of intensive home-based near work and weekly clinic-based therapy.
  • Visual acuity was measured before and after the 12-week intervention period.

Main Results:

  • Six preschool children diagnosed with refractive amblyopia (spherical equivalent from -11.25D to +0.75D) completed the therapy.
  • A statistically significant improvement in visual acuity was observed in the right eye, left eye, and both eyes (p<0.05).

Conclusions:

  • A combined home-based and clinic-based amblyopia therapy program is effective for preschool children.
  • This integrated approach leads to significant visual acuity improvements in young patients with amblyopia.