Review Article

Active Vision Therapy for Anisometropic Amblyopia in Children: A Systematic Review

Table 2

Main aspect of the included studies.

Author (year)Study designInterventionnAge (years)Follow-upConclusions

Totsuka (2018)NRSIDichoptic therapy (Occlu-pad)72 (35 aniso)3–912 monthsThe Occlu-pad group showed greater improvement from the 6th month onward ()
Patch66 (35 aniso)3–912 monthsAdherence was better in the Occlu-pad group than the patching group (70%–34%)

Deshpande (2018)NRSIPerceptual learning + patch328–123 monthsAll subject showed total or partial improvement (3 lines) in VA
Perceptual learning + patch1813–203 monthsBetter effect at 3 and 4 weeks

Iwata (2018)NRSIDichoptic therapy (Occlu-pad) + glasses224.7 ± 1.26 monthsSignificant VA improvement () at 3 and 6 months
Good adherence to treatment (88.6% ± 18.9% under 3 months and 73.2% ± 18.9% between 3 and 6 months)

Gambacorta (2018)NRSIDichoptic therapy13DT was better than PL but with no significance (). Likely due to the size of the sample
Perceptual learning167–17VariableAnisometropic amblyopia improved 0.1 ± 0.03 logMAR after 10 h of training (DT or PL)
Similar results than patching. Shorter treatment time with DT and PL
Compliance of at least 69%

Kuruca (2015)NRSIPerceptual learning (CAM)-anisometropic154–106 monthsSignificant VA improvement in anisometropic amblyopes ()
Perceptual learning (CAM)-strabismic144–106 months

Birch (2015)NRSIR-G glasses + iPad videogame453.7–6.93 monthsiPad videogame was better than sham iPad videogame
Sham iPad videogame (placebo)53.7–6.93 monthsSignificant VA improvement ()
Compliance of at least 50%

Iwata (2018)RCTGlasses233–86 monthsOcclu-pad and glasses were better than only glasses ()
Dichoptic therapy (occlu-pad) + glasses233–8Good adherence to Occlu-pad treatment (88.4 ± 18.7%)
Similar outcomes than patching

Singh (2017)RCTMonocular videogame + patch346–143 monthsMonocular videogame and patch showed better results than only patch (2.4 lines logMAR/1.8 lines logMAR, )
Patch346–143 months

PL = perceptual learning, RCTs = randomized control trials, VA = visual acuity, DT = dichoptic therapy, NRSI = nonrandomized studies of intervention.