Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: A randomised clinical trial

Resumo original em inglês

O que aconteceu

To determine the impact of using child-friendly action video games combined with monocular occlusion for the treatment of children with amblyopia compared with occlusion alone.

Twenty-eight children aged 4-10 years (mean age: 5.80 ± 1.54 years) with anisometropic and/or strabismic amblyopia were included. Each participant was previously prescribed an optimal refractive correction, and after 8 weeks was randomly assigned to one of the treatment groups: action video games (AVG) plus occlusion (n = 14) or passive occlusion alone (PO) (n = 14). Visual acuity (VA) and stereoacuity (ST) were measured at baseline and following 14, 28 and 42 h of treatment. Compliance was monitored using parental registry and Google Analytics.

O que encontraram

After 42 h, both groups showed significant improvement in the visual acuity of the amblyopic eye, p < 0.001 and p = 0.04 for the AVG and PO groups, respectively. However, VA recovery was significantly greater (p = 0.01) and faster with monocular AVG plus occlusion (0.18 logMAR) compared with occlusion alone (0.06 logMAR) in the amblyopic eye. The small improvement (0.02 logMAR) in the non-amblyopic eye was not significant for either group. No significant differences between groups were observed for ST (p = 0.38).

Por que isso importa

These findings suggest that combining occlusion and action video games at home results in greater effectiveness and efficiency in improving VA in children with anisometropic and strabismic amblyopia.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.