{"id":454,"date":"2019-07-05T11:55:39","date_gmt":"2019-07-05T10:55:39","guid":{"rendered":"https:\/\/research.reading.ac.uk\/childrens-vision\/?page_id=454"},"modified":"2021-09-17T12:59:31","modified_gmt":"2021-09-17T11:59:31","slug":"the-impact-of-asymmetrical-accommodation-on-anisometropic-amblyopia-treatment-outcomes-in-press","status":"publish","type":"page","link":"https:\/\/research.reading.ac.uk\/childrens-vision\/ophthalmologists-orthoptists-optometrists\/the-impact-of-asymmetrical-accommodation-on-anisometropic-amblyopia-treatment-outcomes-in-press\/","title":{"rendered":"The impact of asymmetrical accommodation on anisometropic amblyopia treatment outcomes (in press)"},"content":{"rendered":"<p><strong>Background:<\/strong><\/p>\n<p>Previous research revealed that the majority of children with anisometropic amblyopia have asymmetrical accommodation. Only 19% (5\/26) had symmetrical accommodation, 58% (15\/26) had aniso-accommodation and 23% (6\/26) had anti-accommodation. The aim of this preliminary study was to determine if the type of accommodation response was associated with a poor amblyopia treatment outcome in the same patients.<\/p>\n<p><strong>Methods: <\/strong><\/p>\n<p>The type of accommodation response of 26 children with anisometropic amblyopia was determined in a previous study. The final visual acuity (VA) in the amblyopic eye, post amblyopia treatment, was compared between those with symmetrical, aniso- and anti-accommodation.<\/p>\n<p><strong>Results:<\/strong><\/p>\n<p>There was a significant difference in final VA between the 3 accommodation groups (p = 0.023). The anisometropic amblyopes with anti-accommodation had the poorest final VA (0.42 \u00b10.25 (\u00b195% CI) logMAR) with a statistically significant difference when compared to those with aniso-accommodation (0.14 \u00b10.08 logMAR; p = 0.023). However the difference failed to reach significance when compared to those with symmetrical accommodation (0.20 \u00b10.12 logMAR; p = 0.234), probably due to the small sample size. The initial VA in the amblyopic eye and the degree of anisometropia were also significantly positively correlated with final VA (both p &lt; 0.001).<\/p>\n<p><strong>Conclusions:<\/strong><\/p>\n<p>The presence of anti-accommodation in anisometropic amblyopia was associated with a poorer amblyopia treatment outcome. The initial VA in the amblyopic eye and the degree of anisometropia were also associated with a poorer treatment outcome. It is possible that all these factors are associated but further research is required to determine causal relationships.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background: Previous research revealed that the majority of children with anisometropic amblyopia have asymmetrical accommodation. Only 19% (5\/26) had symmetrical accommodation, 58% (15\/26) had aniso-accommodation and 23% (6\/26) had anti-accommodation&#8230;.<a class=\"read-more\" href=\"&#104;&#116;&#116;&#112;&#115;&#58;&#47;&#47;&#114;&#101;&#115;&#101;&#97;&#114;&#99;&#104;&#46;&#114;&#101;&#97;&#100;&#105;&#110;&#103;&#46;&#97;&#99;&#46;&#117;&#107;&#47;&#99;&#104;&#105;&#108;&#100;&#114;&#101;&#110;&#115;&#45;&#118;&#105;&#115;&#105;&#111;&#110;&#47;&#111;&#112;&#104;&#116;&#104;&#97;&#108;&#109;&#111;&#108;&#111;&#103;&#105;&#115;&#116;&#115;&#45;&#111;&#114;&#116;&#104;&#111;&#112;&#116;&#105;&#115;&#116;&#115;&#45;&#111;&#112;&#116;&#111;&#109;&#101;&#116;&#114;&#105;&#115;&#116;&#115;&#47;&#116;&#104;&#101;&#45;&#105;&#109;&#112;&#97;&#99;&#116;&#45;&#111;&#102;&#45;&#97;&#115;&#121;&#109;&#109;&#101;&#116;&#114;&#105;&#99;&#97;&#108;&#45;&#97;&#99;&#99;&#111;&#109;&#109;&#111;&#100;&#97;&#116;&#105;&#111;&#110;&#45;&#111;&#110;&#45;&#97;&#110;&#105;&#115;&#111;&#109;&#101;&#116;&#114;&#111;&#112;&#105;&#99;&#45;&#97;&#109;&#98;&#108;&#121;&#111;&#112;&#105;&#97;&#45;&#116;&#114;&#101;&#97;&#116;&#109;&#101;&#110;&#116;&#45;&#111;&#117;&#116;&#99;&#111;&#109;&#101;&#115;&#45;&#105;&#110;&#45;&#112;&#114;&#101;&#115;&#115;&#47;\">Read More ><\/a><\/p>\n","protected":false},"author":43,"featured_media":0,"parent":75,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"__cvm_playback_settings":[],"__cvm_video_id":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-454","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The impact of asymmetrical accommodation on anisometropic amblyopia treatment outcomes (in press) - Focus on Children\u2019s Vision<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/research.reading.ac.uk\/childrens-vision\/ophthalmologists-orthoptists-optometrists\/the-impact-of-asymmetrical-accommodation-on-anisometropic-amblyopia-treatment-outcomes-in-press\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The impact of asymmetrical accommodation on anisometropic amblyopia treatment outcomes (in press) - Focus on Children\u2019s Vision\" \/>\n<meta property=\"og:description\" content=\"Background: Previous research revealed that the majority of children with anisometropic amblyopia have asymmetrical accommodation. 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