Evidence map›Paper›PMID 34624028›Full record

SynthesisPloS one2021

Binocular treatment for amblyopia: A meta-analysis of randomized clinical trials.

Matilde Roda, Marco Pellegrini, Natalie Di Geronimo, Aldo Vagge, Michela Fresina, Costantino Schiavi

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.6field-weighted citation impact, top 31% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Childhood amblyopia in a tertiary eye care center in western India.International journal of ophthalmology · 2025
    Article
  9. Article
  10. Refractive amblyopia among children aged 4-12 years in a hospital-based setting in Gaza Strip, Palestine.Medical hypothesis, discovery & innovation ophthalmology journal · 2021
    Article
  11. 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

6 authors at 2 institutions in 1 country.

Matilde RodaOphthalmology Unit, Azienda Ospedaliero-Universitaria di Bologna IRCCS, Bologna, Italy.ORCID 0000-0001-9064-4894
Marco PellegriniOphthalmology Unit, Azienda Ospedaliero-Universitaria di Bologna IRCCS, Bologna, Italy.
Natalie Di GeronimoOphthalmology Unit, Azienda Ospedaliero-Universitaria di Bologna IRCCS, Bologna, Italy.
Aldo VaggeUniversity Eye Clinic, DINOGMI, Polyclinic Hospital San Martino IRCCS, Genoa, Italy.
Michela FresinaOphthalmology Unit, Azienda Ospedaliero-Universitaria di Bologna IRCCS, Bologna, Italy.
Costantino SchiaviOphthalmology Unit, Azienda Ospedaliero-Universitaria di Bologna IRCCS, Bologna, Italy.
Azienda USL di Bologna · ITOspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo date, there is still no consensus regarding the effect of binocular treatment for amblyopia. The purpose of this systematic review and meta-analysis was to summarize the available evidence to determine whether binocular treatment is more effective than patching in children with amblyopia.

methodsFour electronic databases (PubMed, Scopus, Web of Science, and Cochrane Central Register of Controlled Trials) were searched for studies that compared binocular treatment and patching in children with amblyopia. The outcome measures were visual acuity and stereopsis. Pooled effects sizes were calculated with a random-effect model. The standardized difference in means (SDM) with 95% confidence intervals (CI) was calculated. Sensitivity analysis and assessment of publication bias were performed.

resultsFive randomized clinical trials were included. No significant difference in visual acuity between patients treated with binocular treatment and patching was observed (SDM = -0.12; 95% CI: -0.45-0.20; P = 0.464). No significant difference in stereopsis between patients treated with binocular treatment and patching was observed (SDM = -0.07; 95% CI: -0.61-0.48; P = 0.809). For both variables, the between-study heterogeneity was high (respectively, I2 = 61% and I2 = 57%).

conclusionsThis meta-analysis found no convincing evidence supporting the efficacy of binocular treatment as an alternative to conventional patching. Therefore, the binocular treatment cannot fully replace traditional treatment but, to date, it can be considered a valid complementary therapy in peculiar cases. Further studies are required to determine whether more engaging therapies and new treatment protocols are more effective.

Indexed as

AmblyopiaDepth PerceptionEyeglassesFemaleHumansMaleRandomized Controlled Trials as TopicSensory DeprivationTreatment OutcomeVideo GamesVision, BinocularVision DisparityVisual Acuity

Identifiers

PMID34624028
PMCPMC8500435
OpenAlexW3204275860

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.