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Video Treatment for Amblyopia

R

Retina Foundation of the Southwest

Status

Enrolling

Conditions

Amblyopia

Treatments

Device: Patching
Device: Asynchronous 3D movies

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT05439200
RFSW113B
R01EY022313 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to determine whether viewing asynchronous movies leads to better visual outcomes in young children with amblyopia than standard-of-care occlusion therapy with an adhesive patch and whether this is associated with better adherence to treatment.

Full description

This is a single-site randomized clinical trial to compare treatment of amblyopia by viewing asynchronous movies to standard-of-care occlusion therapy with an adhesive patch. Participants will be referred from local pediatric ophthalmologists. Following informed consent, children will complete baseline testing to confirm eligibility and provide pre-treatment measurements of visual acuity, suppression, stereoacuity, motor skills, self-perception, and quality of life. Eligible children will then be randomly allocated to either patch-free occlusion therapy or standard-of-care occlusion therapy with an adhesive patch.

Children will participate in their assigned occlusion therapy at home for 6 weeks (primary outcome). Adherence will be objectively monitored. Vision will be re-assessed at 2 and 4 weeks and all tests will be repeated at 6 weeks. The asynchronous movie group will have an option to continue for and additional 2 or 4 weeks (10 weeks total). The standard-of-care occlusion group will be offered the opportunity to use the movie treatment at the 6 week visit through 10 weeks. Children who choose to remain in the study beyond the 6 week primary outcome visit will have vision reassessed at 8 and 10 weeks.

The primary analysis will be a comparison of improvement in amblyopic eye visual acuity (baseline-6 weeks) between the movie group and the standard-of-care patching group. Secondary analyses will include comparisons of adherence to each treatment, comparison of the proportion of children in each group with visual acuity ≤0.1 logMAR (recovered) at 6 weeks and 95% CIs, comparisons of changes in extent of suppression, depth of suppression, stereoacuity, motor skills standard scores, self-perception scores, and PedEyeQ domain scores. Associations among hours of treatment, changes in visual acuity, suppression, and stereoacuity, will be explored and modeled for dose-response relationships. In exploratory analyses, we will examine whether there are additional improvements in visual acuity, suppression, or stereoacuity between 6 and 10 weeks for the movie group (8 and 10 weeks means and 95% CIs).

Enrollment

44 estimated patients

Sex

All

Ages

3 to 8 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • aged 3-8 years (3-7 primary cohort)
  • male and female
  • strabismic, anisometropic, or combined mechanism amblyopia (visual acuity 0.3-0.8 logMAR)
  • interocular visual acuity difference ≥0.3 logMAR
  • wearing glasses (if needed) for a minimum of 8 weeks with no change in visual acuity at 2 visits ≥4 weeks apart
  • child's ophthalmologist and family willing to forgo standard patching treatment during the study

Exclusion criteria

  • prematurity ≥8 wk
  • coexisting ocular or systemic disease
  • developmental delay
  • strabismus >5 pd
  • myopia > -3.00D

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

44 participants in 2 patient groups

Asynchronous movies
Experimental group
Description:
Asynchronous 3D movies
Treatment:
Device: Asynchronous 3D movies
Standard-of-care patching with an adhesive patch
Active Comparator group
Description:
Standard-of-care patching with an adhesive patch
Treatment:
Device: Patching

Trial contacts and locations

1

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Central trial contact

Reed M Jost, MS; Eileen E Birch, PhD

Data sourced from clinicaltrials.gov

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