Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trial

Purpose: To determine the impact of using child-friendly action video games combined with monocular occlusion for the treatment of children with amblyopia compared with occlusion alone. Methods: Twenty eight children aged 4 to 10 years (mean age 5.80 ± 1.54 years) with anisometropic and/or strabismi...

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Autores: Asensio Jurado, Laura|||0000-0001-9890-5577, Argilés Sans, Marc|||0000-0001-5474-9832, Viñuela Navarro, Valldeflors|||0000-0002-1933-5906, Quevedo Junyent, Luisa Jesús|||0000-0002-0976-9372, M.Levi, Dennis
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/432904
Acceso en línea:https://hdl.handle.net/2117/432904
https://dx.doi.org/10.1111/opo.13534
Access Level:acceso abierto
Palabra clave:Action video game
Amblyopia
Anisometropia
Occlusion
Strabismus
Àrees temàtiques de la UPC::Ciències de la visió::Optometria
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spelling Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trialAsensio Jurado, Laura|||0000-0001-9890-5577Argilés Sans, Marc|||0000-0001-5474-9832Viñuela Navarro, Valldeflors|||0000-0002-1933-5906Quevedo Junyent, Luisa Jesús|||0000-0002-0976-9372M.Levi, DennisAction video gameAmblyopiaAnisometropiaOcclusionStrabismusÀrees temàtiques de la UPC::Ciències de la visió::OptometriaPurpose: To determine the impact of using child-friendly action video games combined with monocular occlusion for the treatment of children with amblyopia compared with occlusion alone. Methods: Twenty eight children aged 4 to 10 years (mean age 5.80 ± 1.54 years) with anisometropic and/or strabismic amblyopia were included. Each participant was previously prescribed an optimal refractive correction, and after 8 weeks was randomly assigned to one of the treatment groups: action video games (AVG) plus occlusion (n=14) or passive occlusion alone (PO) (n=14). Visual acuity (VA) and stereoacuity (ST) were measured at baseline and following 14, 28 and 42 hours of treatment. Compliance was monitored using parental registry and Google Analytics. Results: After 42 hours, both groups showed significant improvement in the visual acuity of the amblyopic eye, p<0.001 and p = 0.04 for the AVG and PO groups, respectively. However, VA recovery was significantly greater (p=0.01) and faster with monocular AVG plus occlusion (0.18 logMAR) compared with occlusion alone (0.06 logMAR) in the amblyopic eye. The small improvement (0.02 logMAR) in the non-amblyopic eye was not significant for either group. No significant differences between groups were observed for ST (p=0.38). Conclusions: These findings suggest that combining occlusion and action video games at home results in greater effectiveness and efficiency in improving VA in children with anisometropic and strabismic amblyopia.This publication is part of the project: PID2023-146101OB-I00.Peer ReviewedObjectius de Desenvolupament Sostenible::3 - Salut i BenestarObjectius de Desenvolupament Sostenible::4 - Educació de QualitatObjectius de Desenvolupament Sostenible::5 - Igualtat de GènereObjectius de Desenvolupament Sostenible::8 - Treball Decent i Creixement EconòmicObjectius de Desenvolupament Sostenible::10 - Reducció de les Desigualtats20252025-09-0120252025-06-25journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2117/432904https://dx.doi.org/10.1111/opo.13534reponame:UPCommons. Portal del coneixement obert de la UPCinstname:Universitat Politècnica de Catalunya (UPC)InglésengAgencia Estatal de Investigación http://doi.org/10.13039/501100011033 Plan Estatal de Investigación Científica y Técnica y de Innovación 2021-2023 PID2023-146101OB-I00 INNOVACIONES EN BIOFOTONICA PARA EL DIAGNOSTICO Y TRATAMIENTO DE ANOMALIAS VISUALESopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:upcommons.upc.edu:2117/4329042026-05-27T15:37:01Z
dc.title.none.fl_str_mv Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trial
title Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trial
spellingShingle Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trial
Asensio Jurado, Laura|||0000-0001-9890-5577
Action video game
Amblyopia
Anisometropia
Occlusion
Strabismus
Àrees temàtiques de la UPC::Ciències de la visió::Optometria
title_short Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trial
title_full Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trial
title_fullStr Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trial
title_full_unstemmed Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trial
title_sort Efficacy of patching combined with action video games in amblyopic children aged 4-10 years: a randomised clinical trial
dc.creator.none.fl_str_mv Asensio Jurado, Laura|||0000-0001-9890-5577
Argilés Sans, Marc|||0000-0001-5474-9832
Viñuela Navarro, Valldeflors|||0000-0002-1933-5906
Quevedo Junyent, Luisa Jesús|||0000-0002-0976-9372
M.Levi, Dennis
author Asensio Jurado, Laura|||0000-0001-9890-5577
author_facet Asensio Jurado, Laura|||0000-0001-9890-5577
Argilés Sans, Marc|||0000-0001-5474-9832
Viñuela Navarro, Valldeflors|||0000-0002-1933-5906
Quevedo Junyent, Luisa Jesús|||0000-0002-0976-9372
M.Levi, Dennis
author_role author
author2 Argilés Sans, Marc|||0000-0001-5474-9832
Viñuela Navarro, Valldeflors|||0000-0002-1933-5906
Quevedo Junyent, Luisa Jesús|||0000-0002-0976-9372
M.Levi, Dennis
author2_role author
author
author
author
dc.subject.none.fl_str_mv Action video game
Amblyopia
Anisometropia
Occlusion
Strabismus
Àrees temàtiques de la UPC::Ciències de la visió::Optometria
topic Action video game
Amblyopia
Anisometropia
Occlusion
Strabismus
Àrees temàtiques de la UPC::Ciències de la visió::Optometria
description Purpose: To determine the impact of using child-friendly action video games combined with monocular occlusion for the treatment of children with amblyopia compared with occlusion alone. Methods: Twenty eight children aged 4 to 10 years (mean age 5.80 ± 1.54 years) with anisometropic and/or strabismic amblyopia were included. Each participant was previously prescribed an optimal refractive correction, and after 8 weeks was randomly assigned to one of the treatment groups: action video games (AVG) plus occlusion (n=14) or passive occlusion alone (PO) (n=14). Visual acuity (VA) and stereoacuity (ST) were measured at baseline and following 14, 28 and 42 hours of treatment. Compliance was monitored using parental registry and Google Analytics. Results: After 42 hours, both groups showed significant improvement in the visual acuity of the amblyopic eye, p<0.001 and p = 0.04 for the AVG and PO groups, respectively. However, VA recovery was significantly greater (p=0.01) and faster with monocular AVG plus occlusion (0.18 logMAR) compared with occlusion alone (0.06 logMAR) in the amblyopic eye. The small improvement (0.02 logMAR) in the non-amblyopic eye was not significant for either group. No significant differences between groups were observed for ST (p=0.38). Conclusions: These findings suggest that combining occlusion and action video games at home results in greater effectiveness and efficiency in improving VA in children with anisometropic and strabismic amblyopia.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-09-01
2025
2025-06-25
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2117/432904
https://dx.doi.org/10.1111/opo.13534
url https://hdl.handle.net/2117/432904
https://dx.doi.org/10.1111/opo.13534
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Agencia Estatal de Investigación http://doi.org/10.13039/501100011033 Plan Estatal de Investigación Científica y Técnica y de Innovación 2021-2023 PID2023-146101OB-I00 INNOVACIONES EN BIOFOTONICA PARA EL DIAGNOSTICO Y TRATAMIENTO DE ANOMALIAS VISUALES
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:UPCommons. Portal del coneixement obert de la UPC
instname:Universitat Politècnica de Catalunya (UPC)
instname_str Universitat Politècnica de Catalunya (UPC)
reponame_str UPCommons. Portal del coneixement obert de la UPC
collection UPCommons. Portal del coneixement obert de la UPC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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