AR Training Versus Patching in Unilateral Amblyopia

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age5-55
SponsorEye & ENT Hospital of Fudan University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • AR training

    Other intervention

    Dichoptic 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 intervention

    Conventional patching therapy.

Treatment groups

114 Participants
are divided into 2 treatment groups
Group A: AR training groupExperimental treatment 1 intervention
Group B: Patching groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
13 weeks

Secondary outcomes

1

Change in best-corrected visual acuity

Best-corrected visual acuity is measured with cycloplegic refraction, using ETDRS chart.

Time frame
2 weeks, 4 weeks, 9 weeks, 13 weeks
2

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.

Time frame
2 weeks, 4 weeks, 9 weeks
3

Change in habitual visual acuity

Habitual visual acuity is measured under habitual refractive correction at a viewing distance of 4 meters, using ETDRS chart.

Time frame
2 weeks, 4 weeks, 9 weeks, 13 weeks
4

Change in stereopsis

Near and far stereopsis measured with Randot Stereotest pattern.

Time frame
2 weeks, 4 weeks, 9 weeks, 13 weeks

Other outcomes

1

Normal proportion in the worth-4 dot test

The proportion of patients in each group with normal results in the worth-4 dot test.

Time frame
2 weeks, 4 weeks, 9 weeks, 13 weeks
2

Normal proportion in the Bagolini striated glasses test

The proportion of patients in each group with normal results in the Bagolini striated glasses test.

Time frame
2 weeks, 4 weeks, 9 weeks, 13 weeks

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