Evidence map›Paper›PMID 32996689›Full record

Trial reportActa ophthalmologica2021

Effect of dichoptic video game treatment on mild amblyopia - a pilot study.

Peter C K Pang, Carly S Y Lam, Robert F Hess, Benjamin Thompson

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta ophthalmologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05620173 ('Validation and Development of New Dichoptic VR-gaming Method to Treat Childhood Amblyopia; Vedea Amblyopia Therapy), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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.

NCT05620173 naunknown statusnot on this mapstarted 2023, after this paper: background citation

'Validation and Development of New Dichoptic VR-gaming Method to Treat Childhood Amblyopia; Vedea Amblyopia Therapy (VAT)

TypeinterventionalSponsorVedea Healthware BVRan2023 to 2024Enrolled74ConditionsAmblyopia, Anisometropic, Amblyopia Strabismic, AmblyopiaArmsVedea Amblyopia Therapy (VAT), Occlusion therapy
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: A randomised clinical trial.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
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

4 authors at 3 institutions in 3 countries.

Peter C K PangSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0002-1613-9408
Carly S Y LamSchool of Optometry, The Hong Kong Polytechnic University, Kowloon, Hong Kong.ORCID https://orcid.org/0000-0002-6808-5018
Robert F HessDepartment of Ophthalmology and Visual Sciences, McGill University, Montreal, Quebec, Canada.
Benjamin ThompsonSchool of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.ORCID https://orcid.org/0000-0002-3902-2712
Hong Kong Polytechnic University · HKMcGill University · CAUniversity of Waterloo · CA

Funding

Health and Medical Research Fund 11122991
6 · The paper itself

Abstract

purposeThe effect of contrast-balanced dichoptic video game training on distance visual acuity (DVA) and stereo acuity has been investigated in severe-to-moderate amblyopia, but its effect on mild amblyopia and fixation stability has not been assessed. This pilot study aimed to evaluate the effect of home-based dichoptic video game on amblyopic eye DVA, stereo acuity and fixation stability in adults with mild amblyopia.

methodsA randomized single-masked design was adopted. The active 6-week home-based treatment was an anaglyphic, contrast-balanced dichoptic video game, and the placebo was an identical non-dichoptic game. Participants (n = 23) had mild amblyopia (amblyopic DVA ≤ 0.28 log Minimum Angle of Resolution (logMAR)). The primary outcome was change in amblyopic DVA at 6 weeks postrandomization. Near visual acuity, stereo acuity and fixation stability (bivariate contour eclipse area) were also measured. Follow-up occurred at 12 and 24 weeks postrandomization.

resultsMean amblyopic eye DVA was 0.21 ± 0.06 and 0.18 ± 0.06 logMAR for the active (n = 12) and placebo (n = 11) group, respectively. Amblyopic DVA improved significantly more in the active group (0.09 ± 0.05) than in the placebo group (0.03 ± 0.04 logMAR; p < 0.05). The difference between groups remained at 12 weeks postrandomization (p = 0.04) but not at 24 weeks (p = 0.43). Titmus stereo acuities improved significantly more in the active group (0.40 log arcsec) than in the placebo group (0.09 log arcsec) after 6 weeks of gameplay. The between-group difference was still present at 24 weeks postrandomization (p = 0.05). There were no differences between groups on any other secondary outcomes.

conclusionHome-based dichoptic video gameplay may be an effective method to improve amblyopic DVA and stereo acuity in mild amblyopia.

Indexed as

Video GamesVision, BinocularAdolescentAdultAmblyopiaChildComputers, HandheldFemaleHumansMaleMiddle AgedPilot ProjectsSingle-Blind MethodVisual AcuityYoung Adultamblyopiadichoptic video gamefixation stabilityhome-based treatment

Identifiers

PMID32996689
PMCPMC8246520
OpenAlexW3090529578

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.