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Pediatrics

Binocular eye-tracking treatment matches patching in amblyopia effectiveness

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A binocular eye-tracking-based home treatment is at least as effective as the traditional patching method for treating amblyopia in children, with the added benefit of higher treatment adherence, according to a study.

Conducted as a prospective, masked, randomized controlled noninferiority trial, the research included 149 children aged 4 to 8 years who were randomly assigned to either the binocular eye-tracking-based home treatment, CureSight, or patching.

The CureSight group used the system for 90 minutes a day, 6 days a week, over 16 weeks, while the patching group adhered to a 2-hour daily regimen for the same period. The primary outcome measured was the improvement in visual acuity of the amblyopic eye.

The results demonstrated that the CureSight treatment was noninferior to patching in terms of visual acuity improvement. Both treatments led to significant improvements in stereoacuity and binocular visual acuity, with CureSight participants showing higher adherence to the treatment regimen.

Reference
Wygnanski-Jaffe T, Kushner BJ, Moshkovitz A, Belkin M, Yehezkel O; CureSight Pivotal Trial Group. High-adherence dichoptic treatment versus patching in anisometropic and small angle strabismus amblyopia: a randomized controlled trial. Am J Ophthalmol. 2024;S0002-9394(24)00374-X. doi: 10.1016/j.ajo.2024.08.011. Epub ahead of print. PMID: 39179129.

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