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Comparison of Different Binocular I Pad Games with Patching for Treatment of Amblyopia in Children: Pilot Study

Received: 22 December 2019     Accepted: 30 December 2019     Published: 31 January 2020
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Abstract

Purpose- The aim of the study is to compare visual functions of children with uncorrected amblyopia treated with different binocular I Pad games and/or patching. Methods- Children with untreated amblyopia were enrolled in this pilot study. Children were divided into three groups: children treated with patching only, children attributed to play binocular snake I Pad game with patching, children attributed to play binocular blocks I Pad game with patching. Visual acuity VA, refraction, stereo acuity test, and ocular alignment tests were performed for all participants in the first visit and 4 weeks after starting treatment. Visual functions were compared between both visits. Results- A total of 18 children with untreated amblyopia participated in this study. Children were divided into three groups: Group 1= 8 children treated with patching only, Group 2= 5 children attributed to play binocular snake I Pad game with patching, and Group 3= 5 children attributed to play binocular blocks I Pad game with patching. There was no significant difference (P > 0.05) in gender and age between the three groups. Children showed good compliance to all patching treatment and I pad games groups. After 4 weeks, Visual acuity was improved in all amblyopic children in the form of one line improvement in patching group, two lines with binocular snake I Pad game and three lines with binocular blocks I Pad game. Moreover, stereoacuity was improved in all groups with greatest advance in blocks games group followed by snake group then patching group. Conclusion- This study demonstrated great effectiveness of both snake, and blocks binocular I Pad games on visual functions improvement for treatment of amblyopia. These games can contribute with patching in achieving better VA and stereoacuity enhancement in a shorter duration than patching alone.

Published in International Journal of Ophthalmology & Visual Science (Volume 5, Issue 1)
DOI 10.11648/j.ijovs.20200501.16
Page(s) 31-34
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Amblyopia, I Pad Games, Patching, Stereoacuity, Visual Acuity

References
[1] Friendly DS. Amblyopia: definition, classification, diagnosis, and management considerations for pediatricians, family physicians, and general practitioners. Pediatric clinics of North America 1987; 34: 1389-1401.
[2] Aldebasi YH. Prevalence of amblyopia in primary school children in Qassim province, Kingdom of Saudi Arabia. Middle East African journal of ophthalmology 2015; 22: 86-91.
[3] Chia A, Dirani M, Chan YH et al. Prevalence of amblyopia and strabismus in young singaporean chinese children. Investigative ophthalmology & visual science 2010; 51: 3411-3417.
[4] Doheny Eye Institute, Department Of Ophthalmology. Prevalence of amblyopia and strabismus in African American and Hispanic children ages 6 to 72 months the multi-ethnic pediatric eye disease study 2008; 115: 1229-1236.
[5] Muhammad A A, Imran A, Asad AK. Prevalence of Amblyopia among Government Middle School Children in City Of Lahore, Pakistan. International Journal for Agro Veterinary and Medical Sciences 2010; 4: 41-46.
[6] Drover JR, Kean PG, Courage ML et al. Prevalence of amblyopia and other vision disorders in young Newfoundland and Labrador children. Canadian journal of ophthalmology Journal canadien d'ophtalmologie 2008; 43: 89-94.
[7] Menon V, Shailesh G, Sharma P et al. Clinical trial of patching versus atropine penalization for the treatment of anisometropic amblyopia in older children. Journal of the official publication of the American Association for Pediatric Ophthalmology and Strabismus J AAPOS 2008; 12: 493-97.
[8] Holmes JM, Beck RW, Kraker RT et al. Impact of patching and atropine treatment on the child and family in the amblyopia treatment study. Arch ophthalmol 2003; 121: 1625-32.
[9] Birch EE, Li SL, Jost RM et al. Binocular iPad treatment for amblyopia in preschool children. Journal of the official publication of the American Association for Pediatric Ophthalmology and Strabismus J AAPOS 2015; 19: 6-11.
[10] Ali Rastegarpour. A computer-based anaglyphic system for the treatment of amblyopia. Clin ophthalmo 2011; 23: 1319-23.
[11] Von Noorden GK, Campos EC. Binocular Vision and Ocular Motility: Theory and Management of Strabismus 2002. London: Mosby.
[12] Manh VM, Holmes JM, Lazar EL, Kraker RT et al. A Randomized Trial of a Binocular iPad Game Versus Part-Time Patching in Children Aged 13 to 16 Years with Amblyopia. Am J Ophthalmol 2018; 186: 104-115.
[13] Ferri FF. Ferri's Clinical Advisor. 2017. Philadelphia: Elsevier. First edition.
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  • APA Style

    Kholoud Ahmed Bokhary, Latifah Saud Aldohayan, Fahmy Rania Medhat, Abdullah Ghazi Alotaibi. (2020). Comparison of Different Binocular I Pad Games with Patching for Treatment of Amblyopia in Children: Pilot Study. International Journal of Ophthalmology & Visual Science, 5(1), 31-34. https://doi.org/10.11648/j.ijovs.20200501.16

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    ACS Style

    Kholoud Ahmed Bokhary; Latifah Saud Aldohayan; Fahmy Rania Medhat; Abdullah Ghazi Alotaibi. Comparison of Different Binocular I Pad Games with Patching for Treatment of Amblyopia in Children: Pilot Study. Int. J. Ophthalmol. Vis. Sci. 2020, 5(1), 31-34. doi: 10.11648/j.ijovs.20200501.16

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    AMA Style

    Kholoud Ahmed Bokhary, Latifah Saud Aldohayan, Fahmy Rania Medhat, Abdullah Ghazi Alotaibi. Comparison of Different Binocular I Pad Games with Patching for Treatment of Amblyopia in Children: Pilot Study. Int J Ophthalmol Vis Sci. 2020;5(1):31-34. doi: 10.11648/j.ijovs.20200501.16

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  • @article{10.11648/j.ijovs.20200501.16,
      author = {Kholoud Ahmed Bokhary and Latifah Saud Aldohayan and Fahmy Rania Medhat and Abdullah Ghazi Alotaibi},
      title = {Comparison of Different Binocular I Pad Games with Patching for Treatment of Amblyopia in Children: Pilot Study},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {5},
      number = {1},
      pages = {31-34},
      doi = {10.11648/j.ijovs.20200501.16},
      url = {https://doi.org/10.11648/j.ijovs.20200501.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20200501.16},
      abstract = {Purpose- The aim of the study is to compare visual functions of children with uncorrected amblyopia treated with different binocular I Pad games and/or patching. Methods- Children with untreated amblyopia were enrolled in this pilot study. Children were divided into three groups: children treated with patching only, children attributed to play binocular snake I Pad game with patching, children attributed to play binocular blocks I Pad game with patching. Visual acuity VA, refraction, stereo acuity test, and ocular alignment tests were performed for all participants in the first visit and 4 weeks after starting treatment. Visual functions were compared between both visits. Results- A total of 18 children with untreated amblyopia participated in this study. Children were divided into three groups: Group 1= 8 children treated with patching only, Group 2= 5 children attributed to play binocular snake I Pad game with patching, and Group 3= 5 children attributed to play binocular blocks I Pad game with patching. There was no significant difference (P > 0.05) in gender and age between the three groups. Children showed good compliance to all patching treatment and I pad games groups. After 4 weeks, Visual acuity was improved in all amblyopic children in the form of one line improvement in patching group, two lines with binocular snake I Pad game and three lines with binocular blocks I Pad game. Moreover, stereoacuity was improved in all groups with greatest advance in blocks games group followed by snake group then patching group. Conclusion- This study demonstrated great effectiveness of both snake, and blocks binocular I Pad games on visual functions improvement for treatment of amblyopia. These games can contribute with patching in achieving better VA and stereoacuity enhancement in a shorter duration than patching alone.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Comparison of Different Binocular I Pad Games with Patching for Treatment of Amblyopia in Children: Pilot Study
    AU  - Kholoud Ahmed Bokhary
    AU  - Latifah Saud Aldohayan
    AU  - Fahmy Rania Medhat
    AU  - Abdullah Ghazi Alotaibi
    Y1  - 2020/01/31
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijovs.20200501.16
    DO  - 10.11648/j.ijovs.20200501.16
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
    SP  - 31
    EP  - 34
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20200501.16
    AB  - Purpose- The aim of the study is to compare visual functions of children with uncorrected amblyopia treated with different binocular I Pad games and/or patching. Methods- Children with untreated amblyopia were enrolled in this pilot study. Children were divided into three groups: children treated with patching only, children attributed to play binocular snake I Pad game with patching, children attributed to play binocular blocks I Pad game with patching. Visual acuity VA, refraction, stereo acuity test, and ocular alignment tests were performed for all participants in the first visit and 4 weeks after starting treatment. Visual functions were compared between both visits. Results- A total of 18 children with untreated amblyopia participated in this study. Children were divided into three groups: Group 1= 8 children treated with patching only, Group 2= 5 children attributed to play binocular snake I Pad game with patching, and Group 3= 5 children attributed to play binocular blocks I Pad game with patching. There was no significant difference (P > 0.05) in gender and age between the three groups. Children showed good compliance to all patching treatment and I pad games groups. After 4 weeks, Visual acuity was improved in all amblyopic children in the form of one line improvement in patching group, two lines with binocular snake I Pad game and three lines with binocular blocks I Pad game. Moreover, stereoacuity was improved in all groups with greatest advance in blocks games group followed by snake group then patching group. Conclusion- This study demonstrated great effectiveness of both snake, and blocks binocular I Pad games on visual functions improvement for treatment of amblyopia. These games can contribute with patching in achieving better VA and stereoacuity enhancement in a shorter duration than patching alone.
    VL  - 5
    IS  - 1
    ER  - 

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Author Information
  • Department of Optometry and Vision Science, Collage of Applied Medical Science, King Saud University, Riyadh, Kingdom of Saudi Arabia

  • Department of Optometry and Vision Science, Collage of Applied Medical Science, King Saud University, Riyadh, Kingdom of Saudi Arabia

  • Department of Optometry and Vision Science, Collage of Applied Medical Science, King Saud University, Riyadh, Kingdom of Saudi Arabia

  • Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia

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