Evidence map›Paper›PMID 37656479›Full record

SynthesisDeutsches Arzteblatt international2023

Computer-Assisted Visual Training in Children and Adolescents with Developmental Visual Disorders.

Christine Schmucker, Eberhard Thörel, Magdalena Flatscher-Thöni, Dorothea Sow, Anne Göhner, Verena Stühlinger, Nikolai Mühlberger, Wolf A Lagrèze, Jörg Meerpohl

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Deutsches Arzteblatt international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

9 authors at 1 institution in 1 country.

Christine SchmuckerFaculty of Medicine, Albert Ludwig University of Freiburg; Institute for Public Health, Medical Decision Making and Health Technology Assessment, UMIT TIROL - Private University for Health Sciences and Technology; Department of Information Management, Quality and Economic Efficiency in Health Care (IQWiG), Cologne; Center for Geriatric Medicine and Gerontology, Freiburg University Hospital, Faculty of Medicine, Albert Ludwigs University Freiburg; Department of Ophthalmology, Freiburg University Hospital, Faculty of Medicine, Albert Ludwigs University Freiburg; Cochrane Germany, Cochrane Germany Foundation, Freiburg.
Eberhard Thörel
Magdalena Flatscher-Thöni
Dorothea Sow
Anne Göhner
Verena Stühlinger
Nikolai Mühlberger
Wolf A Lagrèze
Jörg Meerpohl
University of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this systematic review, we address the question whether children and adolescents with developmental visual disorders benefit from computer-assisted visual training.

methodsSystematic literature searches were carried out in three bibliographic databases (initial search in October 2021) and trial registries. Included were randomized controlled trials that evaluated the efficacy of computer-assisted visual training in children and adolescents with developmental visual disorders in comparison to no training, sham training, or conservative treatment.

resultsThe inclusion criteria were met by 17 trials (with a total of 1323 children and adolescents) focusing on binocular or monocular computer-assisted visual training for the treatment of amblyopia. In these trials, visual training was carried out for 2 to 24 weeks, either as "stand alone" therapy or in addition to occlusion therapy. Six trials showed a statistically significant difference in favor of the visual training for the outcome "best corrected visual acuity of the amblyopic eye." However, this difference was small and mostly below the threshold of clinical relevance of -0.05 logMAR (equivalent to an improvement of 0.5 lines on the eye chart, or 2.5 letters per line). Only few data were available for the outcomes "binocular vision" and "adverse events"; the differences between the groups were similarly small.

conclusionThe currently available data do not permit any firm conclusions regarding the efficacy of visual training in children and adolescents with amblyopia. Moreover, treatment adherence was often insufficient and the treatment durations in the trials was relatively short. No results from randomized trials have yet been published with respect to other developmental visual disorders (refractive errors, strabismus).

Indexed as

AmblyopiaRefractive ErrorsAdolescentChildComputersHumansRandomized Controlled Trials as TopicVision DisordersVisual Acuity

Identifiers

PMID37656479
PMCPMC10722492
OpenAlexW4386347459

What OpenQuestion holds

Textmetadata
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.