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Childhood amblyopia: current management and new trends

Tailor, V; Bossi, M; Greenwood, JA; Dahlmann-Noor, A; (2016) Childhood amblyopia: current management and new trends. British Medical Bulletin , 119 (1) pp. 75-86. 10.1093/bmb/ldw030. Green open access

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Abstract

INTRODUCTION OR BACKGROUND: With a prevalence of 2-5%, amblyopia is the most common vision deficit in children in the UK and the second most common cause of functional low vision in children in low-income countries. SOURCES OF DATA: Pubmed, Cochrane library and clinical trial registries (clinicaltrials.gov, ISRCTN, UKCRN portfolio database). AREAS OF AGREEMENT: Screening and treatment at the age of 4-5 years are cost efficient and clinically effective. Optical treatment (glasses) alone can improve visual acuity, with residual amblyopia treated by part-time occlusion or pharmacological blurring of the better-seeing eye. Treatment after the end of the conventional 'critical period' can improve vision, but in strabismic amblyopia carries a low risk of double vision. AREAS OF CONTROVERSY: It is not clear whether earlier vision screening would be cost efficient and associated with better outcomes. Optimization of treatment by individualized patching regimes or early start of occlusion, and novel binocular treatment approaches may enhance adherence to treatment, provide better outcomes and shorten treatment duration. GROWING POINTS: Binocular treatments for amblyopia. AREAS TIMELY FOR DEVELOPING RESEARCH: Impact of amblyopia on education and quality of life; optimal screening timing and tests; optimal administration of conventional treatments; development of child-friendly, effective and safe binocular treatments.

Type: Article
Title: Childhood amblyopia: current management and new trends
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/bmb/ldw030
Publisher version: http://doi.org/10.1093/bmb/ldw030
Language: English
Additional information: Copyright © The Author(s) 2016. Published by Oxford University Press. All rights reserved. This is a pre-copyedited, author-produced PDF of an article accepted for publication in British Medical Bulletin following peer review. The version of record Tailor, V; Bossi, M; Greenwood, JA; Dahlmann-Noor, A; (2016) Childhood amblyopia: current management and new trends. British Medical Bulletin , 119 (1) pp. 75-86 is available online at: http://doi.org/10.1093/bmb/ldw030
Keywords: Amblyopia*/diagnosis, amblyopia*/therapy, child, humans, treatment outcome, vision screening, visual acuity
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Experimental Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: http://discovery.ucl.ac.uk/id/eprint/1517946
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