Evidence map›Paper›PMID 42261473›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2026

Perceptual Learning Therapy Using RevitalVision in Patching-Failed Amblyopia: Visual Outcomes, Predictors of Response, and Durability.

Monica Samant, Rupam Mhatre, Rakesh Kaushal, Suhas Haldipurkar, Sabyasachi Sengupta

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 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. Trial
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.

Monica SamantLaxmi Eye Hospital & Institute, Panvel, India.
Rupam MhatreLaxmi Eye Hospital & Institute, Panvel, India.ORCID 0009-0009-5273-5651
Rakesh KaushalLaxmi College of Optometry, Panvel, India.
Suhas HaldipurkarLaxmi Eye Hospital & Institute, Panvel, India.
Sabyasachi SenguptaLaxmi Eye Hospital & Institute, Panvel, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the effectiveness, predictors, and durability of perceptual learning therapy using ReVitalVision in older children with amblyopia who had failed prolonged patching therapy. Methods: This prospective interventional study included children (≤18 years) and adults with amblyopia, with pediatric participants having failed ≥2 years of patching due to poor compliance or non-response. All participants completed a mandatory minimum of 40 ReVitalVision sessions; up to 80 sessions were optional. Vision (logMAR) and stereoacuity were assessed at baseline, after 40 and 80 sessions, and at 3, 6, and 12 months. Multivariable regression was performed to identify predictors of outcome. Results: Seventy-three participants (mean age 14.6 ± 5.5 years; 67% male) were included: anisometropic (n=34), strabismic (n=20), isometropic (n=6), deprivational (n=4), and other causes (n=9). After 40 sessions, significant visual improvement was observed across subtypes, greatest in anisometropic amblyopia (0.50 to 0.32 logMAR), with 40% achieving 20/40 or better. Strabismic amblyopia showed slower recovery (0.54 to 0.38 logMAR) and greater variability, while deprivational amblyopia showed limited response. Stereoacuity improved significantly in anisometropic (175 to 67 arcsec) and strabismic amblyopia (214 to 48 arcsec). Baseline BCVA was the strongest predictor of outcome (β = 0.061 per line worsening; p < 0.001), independent of amblyopia subtype and age. Time taken to complete 40 sessions did not influence outcomes. Eighty sessions produced marginally better vision but significantly greater stereoacuity improvement (p = 0.002). A subtle trend toward regression was observed at 6-12 months. Conclusion: ReVitalVision therapy produces clinically meaningful visual and binocular improvements in patching-failed amblyopia. Baseline visual acuity strongly predicts response and durability, and extended therapy may benefit patients with denser amblyopia, supporting individualized treatment duration.

Indexed as

amblyopiapatching-resistant amblyopiaperceptual learningReVitalVisionstereoacuityvisual acuity

Identifiers

PMID42261473
PMCPMC13242857

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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.