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Updated: Sep 14, 2025

Comparison of Three Clinical Stereoscopic Methods for Measuring Binocular Visual Function During Amblyopic Treatment in Unilateral Amblyopia
Published on: September 27, 2024
Childhood amblyopia in a tertiary eye care center in western India
Jai A Kelkar1, Harsh H Jain2, Aditya S Kelkar2
1Department of Paediatric Ophthalmology, National Institute of Ophthalmology, Pune 411005, India.
Insights
This study found refractive errors are the most common cause of childhood amblyopia in India. Early detection and treatment significantly improve best-corrected visual acuity (BCVA) in children.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Public Health
Background:
- Childhood amblyopia is a leading cause of preventable visual impairment in children.
- Understanding the demographics and treatment outcomes in diverse populations is crucial for effective public health strategies.
Purpose of the Study:
- To characterize the demographic profile, clinical features, and treatment results of childhood amblyopia.
- To identify the primary causes and evaluate the effectiveness of various therapeutic interventions.
Main Methods:
- A retrospective longitudinal study of 1382 children (≤12 years) was conducted.
- Data collected included patient demographics, amblyopia etiology, treatment modalities, and best-corrected visual acuity (BCVA) changes.
- The National Institute of OphthalMology AmBlyopia StUdy in Indian Paediatric EyeS (NIMBUS) Study data was analyzed.
Main Results:
- Refractive errors (73.2%) were the most frequent cause of amblyopia, followed by strabismus (7.3%) and anisometropia (6.8%).
- Glasses (74.4%) were the primary treatment, with significant BCVA improvement observed from 0.85 to 0.55 logMAR after treatment (P<0.001).
- All etiologies showed BCVA gain, with refractive errors demonstrating better outcomes compared to strabismus, cataracts, and ptosis.
Conclusions:
- Refractive errors are the predominant cause of amblyopia in this Indian cohort.
- Timely diagnosis, appropriate treatment, and consistent follow-up are essential for improving visual outcomes in pediatric amblyopia.
- The findings highlight the importance of early screening and intervention programs.
Aim:
To describe the demographics, clinical characteristics and treatment outcomes of childhood amblyopia in a tertiary eye center in western India.
Methods:
This was a retrospective longitudinal hospital-based study of 1382 children aged ≤12y included in the National Institute of OphthalMology AmBlyopia StUdy in Indian Paediatric EyeS (NIMBUS) Study. Data on patient demographics, treatment approach, and best-corrected visual acuity (BCVA) changes were reviewed.
Results:
The mean age of the study cohort was 4.54±2.46y, with males constituting the majority (55.4%). The cause of amblyopia was refractive error in 73.2%, strabismus in 7.3%, and anisometropia in 6.8% of eyes. The majority of therapies comprised glasses (74.4%), followed by occlusion+glasses (10.3%), occlusion alone (7.3%), and surgery+patching+glasses (5.1%). The mean occlusion time was 2.46±1.14h. After a median follow-up of 10.00 (6-85)mo, the mean BCVA significantly improved from 0.85±0.41 to 0.55±0.42 logMAR. Subgroup analysis revealed BCVA gain for all etiologies, including refractive errors (P<0.001), strabismus (P<0.001), cataract (P<0.001), and ptosis (P<0.001). Additionally, eyes with refractive errors showed significantly better BCVA than eyes with cataracts (P<0.001), strabismus (P<0.001) and marginally better BCVA than eyes with ptosis (P<0.05), both at the baseline and final visit.
Conclusion:
Refractive errors are the commonest cause of amblyopia, followed by strabismus and anisometropia. Timely detection, optimal therapy, and periodic follow-up are crucial in bettering visual acuity regardless of the cause.
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