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AmblyoPlay-based multimodal visual therapy in pediatric anisometropic amblyopia: a pilot study of visual, oculomotor and sensorimotor outcomes
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AmblyoPlay-based multimodal visual therapy in pediatric anisometropic amblyopia: a pilot study of visual, oculomotor and sensorimotor outcomes
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AmblyoPlay-based multimodal visual therapy in pediatric anisometropic amblyopia: a pilot study of visual, oculomotor and sensorimotor outcomes
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Journal Article
AmblyoPlay-based multimodal visual therapy in pediatric anisometropic amblyopia: a pilot study of visual, oculomotor and sensorimotor outcomes
2025
Overview
Background
This pilot exploratory study aimed to assess the impact of a 6-month app-based multimodal visual therapy program (AmblyoPlay
®
) on visual acuity (VA), stereopsis, oculomotor control, motor proficiency, and postural stability in children with anisometropic amblyopia.
Methods
This study, non-randomized controlled study included 29 children aged 7–13 years. Group I (
n
= 14) had anisometropic amblyopia and performed daily 20-minute gamified dichoptic therapy using AmblyoPlay
®
for 6 months. Group II (
n
= 15) were age- and sex-matched typically developing controls without intervention. Assessments included VA (LogMAR), stereopsis (Titmus Fly), oculomotor parameters (saccadic latency, smooth pursuit gain, optokinetic gain), motor proficiency (BOT-2 subtests), and postural stability (Sensory Organization Test). Group I was evaluated at baseline, 1, 3, and 6 months; controls at baseline and 6 months. Friedman and Wilcoxon signed-rank tests were used for within-group comparisons; Mann–Whitney U tests for between-group differences.
Results
In Group I, amblyopic eye LogMAR VA improved from 0.23 ± 0.10 to 0.08 ± 0.05 at 6 months (
p
< 0.001), and stereopsis improved from 494.3 ± 874.5 to 60.7 ± 28.9 arcsec (
p
< 0.001). Significant reductions in saccadic latency and increases in smooth pursuit and optokinetic gains were observed (all
p
< 0.05). Motor proficiency and postural stability composite scores also improved significantly (
p
< 0.05). No significant changes occurred in controls.
Conclusions
AmblyoPlay-based multimodal visual therapy led to significant improvements in visual and oculomotor function, with secondary benefits in motor coordination and balance, in pediatric anisometropic amblyopia.
Trial registration
Not applicable.
Publisher
BioMed Central,BioMed Central Ltd,BMC
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