Cochrane · systematic review · CD011347

Binocular versus standard occlusion or blurring treatment for unilateral amblyopia in children aged three to eight years

Tailor, V, Ludden, S, Bossi, M, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Eyes and VisionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
4
No studies
3
Included studies
NR
No studies 3 · 42.9%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 3 · 42.9%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Binocular iPad treatment compared with occlusion therapy for amblyopia

Population: 5‐ to 8‐year‐old children with amblyopia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change in BCVA amblyopic eye after 16 weeks logMAR (lower logMAR values indicate better visual acuity)
Binocular iPad treatment vs occlusion therapy
no estimate extracted1 study · 63 participantsModerate
Downgraded: imprecision
Change in BCVA amblyopic eye after 8 weeks logMAR (lower logMAR values indicate better visual acuity)
Binocular iPad treatment vs occlusion therapy
no estimate extracted1 study · 62 participantsModerate
Downgraded: imprecision
Change in distance BCVA in the amblyopic eye 12 months after cessation of treatment
Binocular iPad treatment vs occlusion therapy
no estimate extractedNRNo studies
Adherence to intervention Proportion of adherence to prescribed intervention across predefined categories
Binocular iPad treatment vs occlusion therapy
no estimate extracted1 study · 63 participantsModerate
Downgraded: imprecision
Proportion of participants experiencing an adverse event of permanent diplopia (double vision) Reports of diplopia across all measured time points
Binocular iPad treatment vs occlusion therapy
no estimate extracted1 study · 63 participantsLow
Downgraded: imprecision
Change in the interocular difference in contrast sensitivity Any validated test, from baseline to 16 (± 2) weeks
Binocular iPad treatment vs occlusion therapy
no estimate extractedNRNo studies
Measurable change in stereopsis after 8 (± 2) weeks and 16 (± 2) weeks of intervention 'Real change' in stereopsis is defined as a change in stereoacuity of two or more octaves.
Binocular iPad treatment vs occlusion therapy
no estimate extractedNRNo studies