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Updated: May 10, 2026

The Measurement and Treatment of Suppression in Amblyopia
Published on: December 14, 2012
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.
Abstract:
This study determined the outcome of combining home based and clinic based amblyopia therapy among preschool children. A total of 479 preschool children were randomly selected for vision screening. Amblyopic therapy was prescribed to children whose visual acuity (VA) could not be improved to <0.1 LogMAR after a 6 week adaptation period with glasses. Intensive near work activities were conducted daily at home for 12 weeks, monitored by parents while weekly therapy was conducted at the optometry clinic by an optometrist. Six preschool children were diagnosed with refractive amblyopia, spherical equivalent (SE) was -11.25D to +0.75D. Significant improvement was found in the VA of right eye, t(6) = 3.07, left eye t(6) = 3.07 and both eyes t(6) = 3.42) p<0.05, at the end of the 12 week therapy. Combining home based and clinic based amblyopia therapy among preschool children showed a positive improvement in VA after 12 weeks of therapy.
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