Evidence map›Paper›PMID 41857543›Full record

ArticleBMC ophthalmology2026

Real world gains stable in children with amblyopia following digital dichoptic treatment: PUPiL registry results.

Brenda L Bohnsack, Fatema Ghasia, Shelley Hancock, Naomie Warner, Eric D Gaier

Abstract read
In one paragraph

Article in BMC ophthalmology, 2026. 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
–field-weighted citation impact
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. 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

5 authors.

Brenda L BohnsackDivision of Ophthalmology, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Ave, Box 70, Chicago, IL, 60611, USA. bbohnsack@luriechildrens.org.
Fatema GhasiaVisual Neurosciences and Ocular Motility Lab, Cole Eye Institute, Cleveland Clinic, 2022 E. 105th Street, Cleveland, OH, 44106, USA.
Shelley HancockLuminopia, Inc, 955 Massachusetts Ave #335, Cambridge, MA, 02139, USA.
Naomie WarnerMeadows Eye Physicians and Surgeons, 1090 E Desert Inn, Las Vegas, NV, 89109, USA.
Eric D GaierPicower Institute for Learning and Memory, Massachusetts Institute of Technology, 43 Vassar St, Cambridge, MA, 02139, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAssess outcomes and durability of best corrected visual acuity (BCVA) improvements of amblyopic children who completed treatment with a digital dichoptic treatment, Luminopia.

methodsRetrospective analysis of PUPiL Registry (Patients Using Prescription Luminopia) data of children (< 18 years) with 20/40 or worse BCVA in the amblyopic eye and ≥ 2 lines interocular difference in BCVA who completed Luminopia treatment. Main outcome measures were BCVA changes from baseline to last follow-up visit on treatment, and durability of improvements > 6 weeks after treatment discontinuation.

resultsIn 60 children, mean age 7.2 ± 2.5 years at treatment initiation, there was a mean 1.4 lines (95% CI[1.0, 1.8]) of improvement of BCVA with mean treatment duration of 7.0 months (95% CI[6.2, 7.7]). BCVA improvement was seen in subgroups based on severity, age at initiation, type and prior amblyopia treatment. Children with severe (< 20/100) and moderate (20/40 to > 20/100) amblyopia showed significant improvement on treatment (p < 0.001, p < 0.0001). There was no difference in BCVA line improvement in children initiated on treatment based on age (≤ 7 years vs. ≥8 years (p = 0.61), or based on type of amblyopia (anisometropic, strabismic, mixed (p = 0.18)). Patients with no history of prior amblyopia treatment showed greater improvement than children with a history of prior treatment (p < 0.001). After an average of 6.2 months (95% CI[5.4, 7.0]) follow-up post-treatment, gains in BCVA were maintained, with no statistically significant change from treatment end to final follow-up (p = 0.09). Amblyopia recurrence (> 2 line loss) was 3%.

conclusionsChildren with amblyopia are typically treated with Luminopia for < 1 year and showed improved BCVA with durability after discontinuation. Visual gains were maintained independent of subsequent patching or atropine. The BCVA gains and durability were consistent in subgroups based on age of treatment initiation, amblyopia type and severity, and prior treatment history.

Indexed as

AmblyopiaPupilSensory DeprivationVision, BinocularVisual AcuityAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHumansMaleRegistriesRetrospective StudiesTreatment OutcomeAmblyopiaAnisometropiaBinocularDichoptic digital therapeuticLuminopiaPatient registryReal-world evidenceStrabismus

Identifiers

PMID41857543
PMCPMC13123015

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Registered trials

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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.