Evidence map›Paper›PMID 30150750›Full record

Trial reportScientific reports2018

Fluoxetine does not enhance the effect of perceptual learning on visual function in adults with amblyopia.

Henri J Huttunen, J Matias Palva, Laura Lindberg, Satu Palva, Ville Saarela, Elina Karvonen, Marja-Leena Latvala, Johanna Liinamaa, Sigrid Booms, Eero Castrén and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07226141 (Valproate for the Treatment of Residual Amblyopia), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07226141 phase1 / phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Valproate for the Treatment of Residual Amblyopia

TypeinterventionalSponsorBoston Children's HospitalRan2026 to 2027Enrolled28ConditionsAmblyopia, Amblyopia Unilateral, Amblyopia, Anisometropic, Amblyopia StrabismicArmsValproate, Placebo, Patch
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Comprehensive review of amblyopia: Types and management.Indian journal of ophthalmology · 2023
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Henri J HuttunenHerantis Pharma Plc, 02600, Espoo, Finland. Henri.Huttunen@helsinki.fi.ORCID 0000-0002-9867-4438
J Matias PalvaNeuroscience Center, HiLIFE, University of Helsinki, 00014, Helsinki, Finland.
Laura LindbergDepartment of Ophthalmology, Helsinki University Hospital, 00029, Helsinki, Finland.
Satu PalvaNeuroscience Center, HiLIFE, University of Helsinki, 00014, Helsinki, Finland.ORCID 0000-0001-9496-7391
Ville SaarelaPEDEGO Research Unit, University of Oulu, 90014, Oulu, Finland.
Elina KarvonenPEDEGO Research Unit, University of Oulu, 90014, Oulu, Finland.
Marja-Leena LatvalaDepartment of Ophthalmology, University of Tampere, School of Medicine, 33014, Tampere, Finland.
Johanna LiinamaaPEDEGO Research Unit, University of Oulu, 90014, Oulu, Finland.
Sigrid BoomsHerantis Pharma Plc, 02600, Espoo, Finland.
Eero CastrénNeuroscience Center, HiLIFE, University of Helsinki, 00014, Helsinki, Finland.ORCID 0000-0002-1402-2791
Hannu UusitaloDepartment of Ophthalmology, University of Tampere, School of Medicine, 33014, Tampere, Finland.
University of Helsinki · FIOulu University Hospital · FITampere University · FIHelsinki University Hospital · FIHerantis Pharma (Finland) · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amblyopia is a common visual disorder that is treatable in childhood. However, therapies have limited efficacy in adult patients with amblyopia. Fluoxetine can reinstate early-life critical period-like neuronal plasticity and has been used to recover functional vision in adult rats with amblyopia. We conducted a Phase 2, randomized (fluoxetine vs. placebo), double-blind, multicenter clinical trial examined whether or not fluoxetine can improve visual acuity in amblyopic adults. This interventional trial included 42 participants diagnosed with moderate to severe amblyopia. Subjects were randomized to receive either 20 mg fluoxetine (n = 22) or placebo (n = 20). During the 10-week treatment period, all subjects performed daily computerized perceptual training and eye patching. At the primary endpoint, the mean treatment group difference in visual acuity improvement was only 0.027 logMAR units (95% CI: -0.057 to 0.110; p = 0.524). However, visual acuity had significantly improved from baseline to 10 weeks in both fluoxetine (-0.167 logMAR; 95% CI: -0.226 to -0.108; p < 0.001) and placebo (-0.194 logMAR; 95% CI: -0.254 to -0.133; p < 0.001) groups. While this study failed to provide evidence that fluoxetine enhances neuroplasticity, our data support other recent clinical studies suggesting that improvement of vision can be accomplished in adults with amblyopia.

Indexed as

AdultAmblyopiaFemaleFluoxetineHumansLearningMaleMiddle AgedTreatment OutcomeVision, BinocularVisual AcuityVisual PerceptionYoung AdultFluoxetine

Identifiers

PMID30150750
PMCPMC6110780
OpenAlexW2888623855

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.