Treatment of Anisometropic Amblyopia with Spectacles or in Combination with Translucent Bangerter Filters
Purpose To compare spectacle correction alone with spectacle correction with Bangerter filters to treat anisometropic amblyopia in children. Design Prospective, randomized clinical trial. Participants Eighty children (mean age, 4.4 years) with untreated anisometropic amblyopia and a median best-corr...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 2009-08, Vol.116 (8), p.1475-1480 |
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| container_title | Ophthalmology (Rochester, Minn.) |
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| creator | Agervi, Pia, MD Kugelberg, Ulla, MD Kugelberg, Maria, MD Simonsson, Gunnela, CO Fornander, Monica, CO Zetterström, Charlotta, MD |
| description | Purpose To compare spectacle correction alone with spectacle correction with Bangerter filters to treat anisometropic amblyopia in children. Design Prospective, randomized clinical trial. Participants Eighty children (mean age, 4.4 years) with untreated anisometropic amblyopia and a median best-corrected visual acuity (BCVA) in the amblyopic eye of 0.4 logarithm of the minimum angle of resolution (logMAR). Methods Optimal refractive correction was provided, and the children were assigned to treatment with either spectacles or spectacles in combination with a Bangerter filter worn on the spectacle lens of the better eye. The BCVA, binocular function, and refractive errors were measured repeatedly over the course of 1 year. Main Outcome Measures The time course to resolution of the amblyopia (interocular difference, ≤1 line). Results The difference in the mean time to the resolution of amblyopia was 3.9±3.2 months for the spectacles group versus 2.2±1.9 months for the filter group, and the difference reached significance ( P |
| doi_str_mv | 10.1016/j.ophtha.2009.02.023 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_557671</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0161642009002218</els_id><sourcerecordid>67552189</sourcerecordid><originalsourceid>FETCH-LOGICAL-c533t-cdca8d1a427aee66280940eb264b1db04eca09adb40afd4ade4603e52d5468953</originalsourceid><addsrcrecordid>eNqFklGLEzEQx4MoXq1-A5F90betk2w23bwItXgqHPhw9Tlkk6lNbzdZk12PfntTtt6BIMLAhPD7zwzzH0JeU1hRoOL9cRWGw3jQKwYgV8ByVE_IgtZclnxNq6dkkTFaCs7girxI6QgAQlT8ObmisgZoar4gbhdRjz36sQj7YuNdCj2OMQzOFJu-7U75pYt7Nx6K2wHNqE2HqQixcL7Yhr51Xo8u-JnYRe1TN5lztY_a_8A4YiyuXZdTekme7XWX8NUlL8n360-77Zfy5tvnr9vNTWnqqhpLY41uLNWcrTWiEKwByQFbJnhLbQscjQapbctB7y3XFrmACmtmay4aWVdLUs510z0OU6uG6HodTypopy5fd_mFqq7XIu9pSeQ_-SEG-yj6I6RU0jWjErL23azN4M8J06h6lwx2nfYYpqTEuq4ZbWQG-QyaGFKKuH9oQ0Gd7VRHNdupznYqYDmqLHtzqT-1PdpH0cW_DLy9ADoZ3e2zAcalBy73prLhLHMfZg7z5n85jCoZh96gdTG7qmxw_5vk7wKmc97lnnd4wnQMU_TZVUVVygJ1ez698-WBBGB5jOo36MTYBA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67552189</pqid></control><display><type>article</type><title>Treatment of Anisometropic Amblyopia with Spectacles or in Combination with Translucent Bangerter Filters</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Agervi, Pia, MD ; Kugelberg, Ulla, MD ; Kugelberg, Maria, MD ; Simonsson, Gunnela, CO ; Fornander, Monica, CO ; Zetterström, Charlotta, MD</creator><creatorcontrib>Agervi, Pia, MD ; Kugelberg, Ulla, MD ; Kugelberg, Maria, MD ; Simonsson, Gunnela, CO ; Fornander, Monica, CO ; Zetterström, Charlotta, MD</creatorcontrib><description>Purpose To compare spectacle correction alone with spectacle correction with Bangerter filters to treat anisometropic amblyopia in children. Design Prospective, randomized clinical trial. Participants Eighty children (mean age, 4.4 years) with untreated anisometropic amblyopia and a median best-corrected visual acuity (BCVA) in the amblyopic eye of 0.4 logarithm of the minimum angle of resolution (logMAR). Methods Optimal refractive correction was provided, and the children were assigned to treatment with either spectacles or spectacles in combination with a Bangerter filter worn on the spectacle lens of the better eye. The BCVA, binocular function, and refractive errors were measured repeatedly over the course of 1 year. Main Outcome Measures The time course to resolution of the amblyopia (interocular difference, ≤1 line). Results The difference in the mean time to the resolution of amblyopia was 3.9±3.2 months for the spectacles group versus 2.2±1.9 months for the filter group, and the difference reached significance ( P <0.05). The BCVA in the amblyopic eye improved significantly ( P <0.001 for both comparisons) in both groups. After 1 year, there was no significant difference in the BCVA between the groups. The binocular function improved in both groups; at 1 year there was no significant difference between the groups. The median spherical equivalent refractive error increased significantly during the study in the amblyopic eyes ( P <0.05) and the fellow eyes ( P <0.001). The median anisometropia decreased significantly from the first visit to the 1-year visit in both groups ( P <0.001 for both comparisons). Conclusions We found a more rapid visual acuity recovery with the Bangerter filters than with spectacles alone in eyes with anisometropic amblyopia. However, the 1-year visual acuity outcome was not statistically significantly different between the 2 treatments. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.</description><identifier>ISSN: 0161-6420</identifier><identifier>ISSN: 1549-4713</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/j.ophtha.2009.02.023</identifier><identifier>PMID: 19500854</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Amblyopia - physiopathology ; Amblyopia - therapy ; Biological and medical sciences ; Child, Preschool ; Eyeglasses ; Female ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Medicin och hälsovetenskap ; Miscellaneous ; Ophthalmology ; Ophthalmology - instrumentation ; Prospective Studies ; Treatment Outcome ; Vision disorders ; Vision, Binocular - physiology ; Visual Acuity - physiology</subject><ispartof>Ophthalmology (Rochester, Minn.), 2009-08, Vol.116 (8), p.1475-1480</ispartof><rights>American Academy of Ophthalmology</rights><rights>2009 American Academy of Ophthalmology</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c533t-cdca8d1a427aee66280940eb264b1db04eca09adb40afd4ade4603e52d5468953</citedby><cites>FETCH-LOGICAL-c533t-cdca8d1a427aee66280940eb264b1db04eca09adb40afd4ade4603e52d5468953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ophtha.2009.02.023$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21819842$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19500854$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:119172190$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Agervi, Pia, MD</creatorcontrib><creatorcontrib>Kugelberg, Ulla, MD</creatorcontrib><creatorcontrib>Kugelberg, Maria, MD</creatorcontrib><creatorcontrib>Simonsson, Gunnela, CO</creatorcontrib><creatorcontrib>Fornander, Monica, CO</creatorcontrib><creatorcontrib>Zetterström, Charlotta, MD</creatorcontrib><title>Treatment of Anisometropic Amblyopia with Spectacles or in Combination with Translucent Bangerter Filters</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>Purpose To compare spectacle correction alone with spectacle correction with Bangerter filters to treat anisometropic amblyopia in children. Design Prospective, randomized clinical trial. Participants Eighty children (mean age, 4.4 years) with untreated anisometropic amblyopia and a median best-corrected visual acuity (BCVA) in the amblyopic eye of 0.4 logarithm of the minimum angle of resolution (logMAR). Methods Optimal refractive correction was provided, and the children were assigned to treatment with either spectacles or spectacles in combination with a Bangerter filter worn on the spectacle lens of the better eye. The BCVA, binocular function, and refractive errors were measured repeatedly over the course of 1 year. Main Outcome Measures The time course to resolution of the amblyopia (interocular difference, ≤1 line). Results The difference in the mean time to the resolution of amblyopia was 3.9±3.2 months for the spectacles group versus 2.2±1.9 months for the filter group, and the difference reached significance ( P <0.05). The BCVA in the amblyopic eye improved significantly ( P <0.001 for both comparisons) in both groups. After 1 year, there was no significant difference in the BCVA between the groups. The binocular function improved in both groups; at 1 year there was no significant difference between the groups. The median spherical equivalent refractive error increased significantly during the study in the amblyopic eyes ( P <0.05) and the fellow eyes ( P <0.001). The median anisometropia decreased significantly from the first visit to the 1-year visit in both groups ( P <0.001 for both comparisons). Conclusions We found a more rapid visual acuity recovery with the Bangerter filters than with spectacles alone in eyes with anisometropic amblyopia. However, the 1-year visual acuity outcome was not statistically significantly different between the 2 treatments. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.</description><subject>Amblyopia - physiopathology</subject><subject>Amblyopia - therapy</subject><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Eyeglasses</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Miscellaneous</subject><subject>Ophthalmology</subject><subject>Ophthalmology - instrumentation</subject><subject>Prospective Studies</subject><subject>Treatment Outcome</subject><subject>Vision disorders</subject><subject>Vision, Binocular - physiology</subject><subject>Visual Acuity - physiology</subject><issn>0161-6420</issn><issn>1549-4713</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFklGLEzEQx4MoXq1-A5F90betk2w23bwItXgqHPhw9Tlkk6lNbzdZk12PfntTtt6BIMLAhPD7zwzzH0JeU1hRoOL9cRWGw3jQKwYgV8ByVE_IgtZclnxNq6dkkTFaCs7girxI6QgAQlT8ObmisgZoar4gbhdRjz36sQj7YuNdCj2OMQzOFJu-7U75pYt7Nx6K2wHNqE2HqQixcL7Yhr51Xo8u-JnYRe1TN5lztY_a_8A4YiyuXZdTekme7XWX8NUlL8n360-77Zfy5tvnr9vNTWnqqhpLY41uLNWcrTWiEKwByQFbJnhLbQscjQapbctB7y3XFrmACmtmay4aWVdLUs510z0OU6uG6HodTypopy5fd_mFqq7XIu9pSeQ_-SEG-yj6I6RU0jWjErL23azN4M8J06h6lwx2nfYYpqTEuq4ZbWQG-QyaGFKKuH9oQ0Gd7VRHNdupznYqYDmqLHtzqT-1PdpH0cW_DLy9ADoZ3e2zAcalBy73prLhLHMfZg7z5n85jCoZh96gdTG7qmxw_5vk7wKmc97lnnd4wnQMU_TZVUVVygJ1ez698-WBBGB5jOo36MTYBA</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Agervi, Pia, MD</creator><creator>Kugelberg, Ulla, MD</creator><creator>Kugelberg, Maria, MD</creator><creator>Simonsson, Gunnela, CO</creator><creator>Fornander, Monica, CO</creator><creator>Zetterström, Charlotta, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20090801</creationdate><title>Treatment of Anisometropic Amblyopia with Spectacles or in Combination with Translucent Bangerter Filters</title><author>Agervi, Pia, MD ; Kugelberg, Ulla, MD ; Kugelberg, Maria, MD ; Simonsson, Gunnela, CO ; Fornander, Monica, CO ; Zetterström, Charlotta, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c533t-cdca8d1a427aee66280940eb264b1db04eca09adb40afd4ade4603e52d5468953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Amblyopia - physiopathology</topic><topic>Amblyopia - therapy</topic><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Eyeglasses</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Miscellaneous</topic><topic>Ophthalmology</topic><topic>Ophthalmology - instrumentation</topic><topic>Prospective Studies</topic><topic>Treatment Outcome</topic><topic>Vision disorders</topic><topic>Vision, Binocular - physiology</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Agervi, Pia, MD</creatorcontrib><creatorcontrib>Kugelberg, Ulla, MD</creatorcontrib><creatorcontrib>Kugelberg, Maria, MD</creatorcontrib><creatorcontrib>Simonsson, Gunnela, CO</creatorcontrib><creatorcontrib>Fornander, Monica, CO</creatorcontrib><creatorcontrib>Zetterström, Charlotta, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agervi, Pia, MD</au><au>Kugelberg, Ulla, MD</au><au>Kugelberg, Maria, MD</au><au>Simonsson, Gunnela, CO</au><au>Fornander, Monica, CO</au><au>Zetterström, Charlotta, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Anisometropic Amblyopia with Spectacles or in Combination with Translucent Bangerter Filters</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>116</volume><issue>8</issue><spage>1475</spage><epage>1480</epage><pages>1475-1480</pages><issn>0161-6420</issn><issn>1549-4713</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>Purpose To compare spectacle correction alone with spectacle correction with Bangerter filters to treat anisometropic amblyopia in children. Design Prospective, randomized clinical trial. Participants Eighty children (mean age, 4.4 years) with untreated anisometropic amblyopia and a median best-corrected visual acuity (BCVA) in the amblyopic eye of 0.4 logarithm of the minimum angle of resolution (logMAR). Methods Optimal refractive correction was provided, and the children were assigned to treatment with either spectacles or spectacles in combination with a Bangerter filter worn on the spectacle lens of the better eye. The BCVA, binocular function, and refractive errors were measured repeatedly over the course of 1 year. Main Outcome Measures The time course to resolution of the amblyopia (interocular difference, ≤1 line). Results The difference in the mean time to the resolution of amblyopia was 3.9±3.2 months for the spectacles group versus 2.2±1.9 months for the filter group, and the difference reached significance ( P <0.05). The BCVA in the amblyopic eye improved significantly ( P <0.001 for both comparisons) in both groups. After 1 year, there was no significant difference in the BCVA between the groups. The binocular function improved in both groups; at 1 year there was no significant difference between the groups. The median spherical equivalent refractive error increased significantly during the study in the amblyopic eyes ( P <0.05) and the fellow eyes ( P <0.001). The median anisometropia decreased significantly from the first visit to the 1-year visit in both groups ( P <0.001 for both comparisons). Conclusions We found a more rapid visual acuity recovery with the Bangerter filters than with spectacles alone in eyes with anisometropic amblyopia. However, the 1-year visual acuity outcome was not statistically significantly different between the 2 treatments. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19500854</pmid><doi>10.1016/j.ophtha.2009.02.023</doi><tpages>6</tpages></addata></record> |
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| ispartof | Ophthalmology (Rochester, Minn.), 2009-08, Vol.116 (8), p.1475-1480 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Amblyopia - physiopathology Amblyopia - therapy Biological and medical sciences Child, Preschool Eyeglasses Female Follow-Up Studies Humans Male Medical sciences Medicin och hälsovetenskap Miscellaneous Ophthalmology Ophthalmology - instrumentation Prospective Studies Treatment Outcome Vision disorders Vision, Binocular - physiology Visual Acuity - physiology |
| title | Treatment of Anisometropic Amblyopia with Spectacles or in Combination with Translucent Bangerter Filters |
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