Evidence map›Paper›PMID 32345348›Full record

ArticleTrials2020

Intense versus standard regimens of intermittent occlusion therapy for unilateral moderate amblyopia in children: study protocol for a randomized controlled trial.

Jingyun Wang, Ayesha Malik, Jing Jin, Yi Pang, Kelly Yin, Megan Allen, Adriana Grigorian, Brandy Scombordi, Joann Bailey, Saeed Aljohani and 6 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02767856 (Intense vs Standard Regimens of Intermittent Occlusion Therapy for Unilateral Moderate Amblyopia in Children), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 50% 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.

NCT02767856 naterminatednot on this map

Intense vs Standard Regimens of Intermittent Occlusion Therapy for Unilateral Moderate Amblyopia in Children

TypeinterventionalSponsorSalus UniversityRan2016 to 2021Enrolled32ConditionsAmblyopiaArmsIO-therapy Glasses
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Interventions for improving adherence to amblyopia treatments in children.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. 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

16 authors at 7 institutions in 1 country.

Jingyun WangSalus Univerisity Pennsylvania College of Optometry, 8360 Old York Rd, Elkins Park, PA, 19027, USA. jwang@salus.edu.
Ayesha MalikChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Jing JinNemours. Alfred I. duPont Hospital of Children, Wilmington, DE, USA.
Yi PangIllinois College of Optometry, Chicago, IL, USA.
Kelly YinIllinois College of Optometry, Chicago, IL, USA.
Megan AllenIllinois College of Optometry, Chicago, IL, USA.
Adriana GrigorianArkansas Children's Hospital, Little Rock, AR, United States.
Brandy ScombordiSalus Univerisity Pennsylvania College of Optometry, 8360 Old York Rd, Elkins Park, PA, 19027, USA.
Joann BaileySt. Christopher's Hospital for Children, Philadelphia, PA, USA.
Saeed AljohaniSalus Univerisity Pennsylvania College of Optometry, 8360 Old York Rd, Elkins Park, PA, 19027, USA.
Katharine FunariSalus Univerisity Pennsylvania College of Optometry, 8360 Old York Rd, Elkins Park, PA, 19027, USA.
Ruth ShogeSalus Univerisity Pennsylvania College of Optometry, 8360 Old York Rd, Elkins Park, PA, 19027, USA.
Siva MeiyeppenSalus Univerisity Pennsylvania College of Optometry, 8360 Old York Rd, Elkins Park, PA, 19027, USA.
Jenny MyungSalus Univerisity Pennsylvania College of Optometry, 8360 Old York Rd, Elkins Park, PA, 19027, USA.
Ajay SoniPenn State Eye Center, Hershey, PA, USA.
Daniel E NeelyGlick Eye Institute, Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN, USA.
Salus University · USIllinois College of Optometry · USArkansas Children's Hospital · USChildren's Hospital of Philadelphia · USIndiana University – Purdue University Indianapolis · USPenn State Milton S. Hershey Medical Center · USSt. Christopher's Hospital for Children · US

Funding

Efficacy of Intermittent Occlusion in Amblyopia TreatmentR21EY026664 · NEI · SALUS UNIVERSITY · PI NEELY, DANIEL, WANG, JINGYUN · 2016 to 2017
$394k
NEI NIH HHS EY026664NEI NIH HHS R21 EY026664Pennsylvania Lions Eye Research Fund (US) NA
6 · The paper itself

Abstract

backgroundWe reported that in our previous study that wearing intermittent occlusion therapy glasses (IO-therapy) for 4 hours (h) was non-inferior to patching for 2 h in 3 to 8-year-old children with amblyopia. We hypothesize that an intense regimen of 12-h IO-therapy per day for 4 weeks could be as effective as the standard regimen of 4-h IO-therapy per day for 12 weeks in treating moderate amblyopia in 3 to 8-year-old children. METHODS/

designA total of 56 children between 3 and 8 years of age with amblyopia in association with anisometropia and/or strabismus will be enrolled. All participants will be prescribed IO-therapy glasses (Amblyz™), set at 30-s opaque/transparent intervals (i.e., occluded 50% of wear time). They will be randomized to receive the standard regimen for 12 weeks or the intense regimen for 4 weeks. Adherence to using the IO-therapy glasses will be objectively monitored in each participant by means of a microsensor dose monitor. The primary study objective is to compare the effectiveness of an intense regimen to a standard regimen of IO-therapy in 3 to 8-year-old children with moderate amblyopia. The secondary study objectives are to determine whether adherence differs between an intense regimen and a standard regimen of IO-therapy, and to determine the dose-response relationship of IO-therapy. DISCUSSION: In addition to testing the effectiveness, this study will test for the first time the association between treatment adherence and the visual outcome of IO-therapy, which will enhance our understanding of the dose-response relationship of IO-therapy. If an intense regimen is shown to be effective, it would alter amblyopia treatment strategies and improve visual outcomes.

trial registrationClinicalTrials.gov: NCT02767856. Registered on 10 May 2016.

Indexed as

Liquid CrystalsSensory DeprivationAmblyopiaChildHumansMonitoring, PhysiologicRandomized Controlled Trials as TopicTreatment OutcomeVisual AcuityAmblyopiaChildIntense regimenIntermittent occlusion therapyRandomized clinical trialVisual acuity

Identifiers

PMID32345348
PMCPMC7189599
OpenAlexW3019960221

What OpenQuestion holds

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LicenceCC BY
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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.