About this trial
This is a multi-center, randomized controlled trial to compare the effectiveness of AR training with patching for the treatment of unilateral amblyopia.
Specific Aim 1 (Primary): To compare the improvement of visual acuity in the amblyopic eye between AR training and patching for the treatment of unilateral amblyopia.
Specific Aim 2 (Secondary): To compare the improvement of visual functions between AR training and patching for the treatment of unilateral amblyopia.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 5-55 years (including 5 years and 55 years);
Best-corrected visual acuity worse than 20/30 but no worse than 20/200 in the amblyopic eye, interocular difference of 2 or more lines, with the better eye within the normal range;
Patients have applied optical refractive correction for more than 3 months;
Ability attend visits and complete the treatment;
Disqualifiers
Organic eye diseases preventing the establishment of good vision (e.g. ptosis, media opacity, nystagmus, paracentral fixation, acute inflammation like keratitis, optic nerve diseases like glaucoma, retinal diseases);
Lesions of the brain preventing the establishment of good vision (e.g. cortical visual impairment);
Implantable electronic device;
A history of ocular surgery (except strabismus surgery) affecting vision (e.g. retinal detachment repair);
Trial design
Parallel
Treatments tested in this trial
AR training
Other interventionDichoptic augmented reality training with dual-pathway (parvocellular pathway and magnocellular pathway) and interocular push-pull paradigms developed based on neural deficits in unilateral amblyopia.
Patching
Other interventionConventional patching therapy.
Treatment groups
Trial outcomes
Primary outcomes
Total effective rate
The effective rate is defined as the proportion of patients whose best-corrected visual acuity (BCVA) at distance improved ≥0.2 LogMAR after treatment compared to the baseline. BCVA at distance is measured with ETDRS chart.
Secondary outcomes
Change in best-corrected visual acuity
Best-corrected visual acuity is measured with cycloplegic refraction, using ETDRS chart.
Effective rate
The effective rate is defined as the proportion of patients whose best-corrected visual acuity (BCVA) at distance improved ≥0.2 LogMAR after treatment compared to the baseline. BCVA at distance is measured with ETDRS chart.
Change in habitual visual acuity
Habitual visual acuity is measured under habitual refractive correction at a viewing distance of 4 meters, using ETDRS chart.
Change in stereopsis
Near and far stereopsis measured with Randot Stereotest pattern.
Other outcomes
Normal proportion in the worth-4 dot test
The proportion of patients in each group with normal results in the worth-4 dot test.
Normal proportion in the Bagolini striated glasses test
The proportion of patients in each group with normal results in the Bagolini striated glasses test.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Eye & ENT Hospital of Fudan University
Lead sponsor
First Affiliated Hospital of Fujian Medical University
Collaborator
Shanghai Tong Ren Hospital
Collaborator
Jiangsu Provincial People's Hospital
Collaborator