Comparison of the effectiveness of amblyopia treatment with eye-patch and binocular Occlu-tab for the same treatment duration

Purpose: This study aimed to compare the conventional eye patch with Occlu?tab—a binocular open?type amblyopia training device—and evaluate their effectiveness in amblyopia treatment. Methods: In this prospective, multi?center study, 40 patients between ages 3 to 12 years, diagnosed with anisometropic amblyopia (refraction difference of both eyes ? 2 D, best?corrected visual acuity [BCVA] of the amblyopic eye ? 0.1 [logMAR]) were treated with Occlu?tab or conventional eye patch for 1 h per day thrice a week. We compared the visual acuity of both groups before and after 6, 7, and 8 weeks of amblyopia treatment. One?way repeated?measures analysis of variance and Tukey’s test were used to compare the visual acuity of both groups pre? and post?treatment. Results: Both groups had significantly improved visual acuity at 6, 7, and 8 weeks compared to that before treatment (all P < 0.001). The improvement in BCVA of the Occlu?tab group (0.33 ± 0.25) was significantly greater than that of the eye patch group (0.16 ± 0.17) after 8 weeks of treatment (P = 0.02). Conclusion: Amblyopia treatment using binocular open game training with Occlu?tab led to greater improvement in visual acuity than that with a conventional eye patch for the same treatment duration

Efficacy of supplemental Occlu-pad therapy with partial occlusion in children with refractive anisometropic amblyopia

Purpose: To study the efficacy of supplemental occlu?pad therapy with partial occlusion in children with refractive anisometropic amblyopia. Methods: Thirty?one children who did not improve after partial occlusion of 6 h for 6 months were supplemented with the use of occlu?pad for 1 h per day and three such sessions in a week. Results: The mean age was 6.8+/?1.4 years (range 5�years). A significant improvement of 3.2+/?1.3 lines in visual acuity was noticed at the end of 3 months of starting this supplemental therapy in children. Out of 31 children, 26 children improved at least 2 lines or more at the end of 3 months. All children (n = 9) having anisohyperopic amblyopia improved at the end of 3 months. Conclusion: Occlu?pad is useful in supplementing occlusion therapy in cases of refractive amblyopia and is more effective in anisohyperopic amblyopia

Evaluating the change in central corneal thickness in neonates (term and preterm) in Indian population and the factors affecting it.

Background and Aim: Central corneal thickness (CCT) of term and preterm infants in Indian population is not known. We did a prospective noninterventional study to measure the CCT in term and preterm infants. Materials and Methods: An ultrasonic pachymeter was used. The data regarding the date of birth, expected date of delivery, birth weight were recorded. The preterm and the term infants were followed up at 8 weeks, 20 weeks and at 1‑year. Results: A total of 85 (170 eyes) children were included in the study. The mean age was 264.6 ± 21.8 days postconception. The mean birth weight and CCT were 1834.4 ± 512.1 g and 595.8 ± 72.4 μ respectively. A comparison of CCT on the basis postgestational age showed a mean thickness of 620.7 ± 88.8 and 574.4 ± 78.3 μ in the <260 days and >260 days age groups respectively. The difference was statistically significant (Student’s test, P = 0.002). The CCT of preterm infants (<260 days) decreased from a mean value of 620.7 ± 88.8 μ to 534.1 ± 57.6 μ at the end of 1‑year. Conclusion: We present the data of CCT in term and preterm infants in Indian population. We believe that the premature babies have slightly thicker corneas than mature term babies.