Differences in near and distance visual acuity in paediatric amblyopia

  • Research type

    Research Study

  • Full title

    Relative difference between near and distance visual acuity in paediatric amblyopia

  • IRAS ID

    189801

  • Contact name

    Estelle Bishop

  • Contact email

    estelle.bishop@glos.nhs.uk

  • Sponsor organisation

    The University of Sheffield

  • Duration of Study in the UK

    0 years, 7 months, 14 days

  • Research summary

    Is there a difference between near and distance levels of visual acuity (VA) in paediatric amblyopes aged 4-7 years?

    Amblyopia (lazy eye) is defined as reduced visual function in one eye. It is the most common cause of reduced vision during childhood. Treatment for amblyopia comprises occlusion therapy during the critical period of visual development, which is accepted to occur between birth and 7 years.

    The typical measurement of visual function to monitor amblyopia treatment responses is to measure visual acuity (VA), which is the smallest high-contrast identifiable size a person is able to distinguish. It is typically tested at distances of 3 meters or more. A number of vision charts have been designed to measure near VA (NVA) at distances around 0.3 meters. However, the wealth of literature reporting on outcome measures suggests distance vision (DVA) tests are most typically used than NVA tests. Little is known about whether near and distance vision levels are the same in children with amblyopia. The few existing reports conflict and have methodological limitations and therefore do not form a firm conclusion.

    This study proposes to compare near and distance levels of vision in children aged 4-7 years with amblyopia. Two validated vision tests will be used; one letter based test and one picture test. Both tests have a distance and near version.

    The study will be conducted across the two main sites at Gloucestershire Hospitals NHS Foundation Trust: Gloucester Royal Hospital and Cheltenham General. One observer will measure the VA of all participants and an age matched control group will be recruited.

    The data collection period is anticipated to take 4 months.

  • REC name

    West Midlands - Solihull Research Ethics Committee

  • REC reference

    16/WM/0027

  • Date of REC Opinion

    8 Feb 2016

  • REC opinion

    Further Information Favourable Opinion