Skip to main content
Top
Published in: Trials 1/2013

Open Access 01-12-2013 | Study protocol

Evaluation and development of a novel binocular treatment (I-BiT™) system using video clips and interactive games to improve vision in children with amblyopia (‘lazy eye’): study protocol for a randomised controlled trial

Authors: Alexander J Foss, Richard M Gregson, Daisy MacKeith, Nicola Herbison, Isabel M Ash, Sue V Cobb, Richard M Eastgate, Trish Hepburn, Anthony Vivian, Diane Moore, Stephen M Haworth, the I-BiT Steering group

Published in: Trials | Issue 1/2013

Login to get access

Abstract

Background

Amblyopia (lazy eye) affects the vision of approximately 2% of all children. Traditional treatment consists of wearing a patch over their ‘good’ eye for a number of hours daily, over several months. This treatment is unpopular and compliance is often low. Therefore results can be poor. A novel binocular treatment which uses 3D technology to present specially developed computer games and video footage (I-BiT™) has been studied in a small group of patients and has shown positive results over a short period of time. The system is therefore now being examined in a randomised clinical trial.

Methods/design

Seventy-five patients aged between 4 and 8 years with a diagnosis of amblyopia will be randomised to one of three treatments with a ratio of 1:1:1 - I-BiT™ game, non-I-BiT™ game, and I-BiT™ DVD. They will be treated for 30 minutes once weekly for 6 weeks. Their visual acuity will be assessed independently at baseline, mid-treatment (week 3), at the end of treatment (week 6) and 4 weeks after completing treatment (week 10). The primary endpoint will be the change in visual acuity from baseline to the end of treatment. Secondary endpoints will be additional visual acuity measures, patient acceptability, compliance and the incidence of adverse events.

Discussion

This is the first randomised controlled trial using the I-BiT™ system. The results will determine if the I-BiT™ system is effective in the treatment of amblyopia and will also determine the optimal treatment for future development.

Trial registration

ClinicalTrials.gov identifier: NCT01702727
Appendix
Available only for authorised users
Literature
1.
go back to reference Von Noorden GK, Campos EC: Principles of non-surgical treatment. Binocular Vision and Ocular Motility: Theory and Management of Strabismus. 2002, St Louis, MO: Mosby, 546-547. Von Noorden GK, Campos EC: Principles of non-surgical treatment. Binocular Vision and Ocular Motility: Theory and Management of Strabismus. 2002, St Louis, MO: Mosby, 546-547.
2.
go back to reference Stewart CE, Fielder AR, Stephens DA, Moseley MJ: Treatment of unilateral amblyopia: factors influencing visual outcome. Invest Ophthalmol Vis Sci. 2005, 46: 3152-3160. 10.1167/iovs.05-0357.CrossRefPubMed Stewart CE, Fielder AR, Stephens DA, Moseley MJ: Treatment of unilateral amblyopia: factors influencing visual outcome. Invest Ophthalmol Vis Sci. 2005, 46: 3152-3160. 10.1167/iovs.05-0357.CrossRefPubMed
3.
go back to reference Stewart CE, Moseley MJ, Stephens DA, Fielder AR, in behalf of the MOTAS Cooperative: Treatment dose–response in amblyopia therapy: The Monitored Occlusion Treatment Of Amblyopia Study (MOTAS). Invest Ophthalmol Vis Sci. 2004, 45: 3048-3054. 10.1167/iovs.04-0250.CrossRefPubMed Stewart CE, Moseley MJ, Stephens DA, Fielder AR, in behalf of the MOTAS Cooperative: Treatment dose–response in amblyopia therapy: The Monitored Occlusion Treatment Of Amblyopia Study (MOTAS). Invest Ophthalmol Vis Sci. 2004, 45: 3048-3054. 10.1167/iovs.04-0250.CrossRefPubMed
4.
go back to reference Dixon-Woods M, Awan M, Gottlob I: Why is compliance with occlusion therapy for amblyopia so hard? A qualitative study. Arch Dis Child. 2006, 91: 491-494. 10.1136/adc.2005.090373.CrossRefPubMedPubMedCentral Dixon-Woods M, Awan M, Gottlob I: Why is compliance with occlusion therapy for amblyopia so hard? A qualitative study. Arch Dis Child. 2006, 91: 491-494. 10.1136/adc.2005.090373.CrossRefPubMedPubMedCentral
5.
go back to reference Waddingham PE, Butler TKH, Cobb SV, Moody AD, Comaish IF, Haworth SM, Gregson RM, Ash IM, Brown SM, Eastgate RM, Griffiths GD: Preliminary results from the use of the novel Interactive Binocular Treatment (I-BiT) System in the treatment of amblyopia. Eye. 2006, 20: 375-378. 10.1038/sj.eye.6701883.CrossRefPubMed Waddingham PE, Butler TKH, Cobb SV, Moody AD, Comaish IF, Haworth SM, Gregson RM, Ash IM, Brown SM, Eastgate RM, Griffiths GD: Preliminary results from the use of the novel Interactive Binocular Treatment (I-BiT) System in the treatment of amblyopia. Eye. 2006, 20: 375-378. 10.1038/sj.eye.6701883.CrossRefPubMed
6.
go back to reference Herbison N, Cobb S, Gregson R, Ash I, Eastgate R, Purdy J, Hepburn T, MacKeith D, Foss A: Interactive Binocular Treatment (I-BiT™) for amblyopia: Results of a pilot study of 3D shutter glasses system. Eye. in press Herbison N, Cobb S, Gregson R, Ash I, Eastgate R, Purdy J, Hepburn T, MacKeith D, Foss A: Interactive Binocular Treatment (I-BiT™) for amblyopia: Results of a pilot study of 3D shutter glasses system. Eye. in press
7.
go back to reference McGraw PV, Winn B, Gray LS, Elliott DB: Improving the reliability of visual acuity measures in young children. Ophthal Physiol Opt. 2000, 20: 173-184. 10.1016/S0275-5408(99)00054-X.CrossRef McGraw PV, Winn B, Gray LS, Elliott DB: Improving the reliability of visual acuity measures in young children. Ophthal Physiol Opt. 2000, 20: 173-184. 10.1016/S0275-5408(99)00054-X.CrossRef
8.
go back to reference Waddingham PE: Application of Virtual Reality in the Treatment of Amblyopia [PhD thesis]. 2008, Nottingham: University of Nottingham Waddingham PE: Application of Virtual Reality in the Treatment of Amblyopia [PhD thesis]. 2008, Nottingham: University of Nottingham
9.
go back to reference Stewart CE, Moseley MJ, Fielder AR: Defining and measuring treatment outcome in unilateral Amblyopia. Br J Ophthalmol. 2003, 87: 1229-1231. 10.1136/bjo.87.10.1229.CrossRefPubMedPubMedCentral Stewart CE, Moseley MJ, Fielder AR: Defining and measuring treatment outcome in unilateral Amblyopia. Br J Ophthalmol. 2003, 87: 1229-1231. 10.1136/bjo.87.10.1229.CrossRefPubMedPubMedCentral
10.
go back to reference Cleary M, Moody AD, Buchanan A, Stewart H, Dutton GN: Assessment of acomputer-based treatment for older amblyopes: the Glasgow Pilot Study. Eye. 2009, 23: 124-131. 10.1038/sj.eye.6702977.CrossRefPubMed Cleary M, Moody AD, Buchanan A, Stewart H, Dutton GN: Assessment of acomputer-based treatment for older amblyopes: the Glasgow Pilot Study. Eye. 2009, 23: 124-131. 10.1038/sj.eye.6702977.CrossRefPubMed
Metadata
Title
Evaluation and development of a novel binocular treatment (I-BiT™) system using video clips and interactive games to improve vision in children with amblyopia (‘lazy eye’): study protocol for a randomised controlled trial
Authors
Alexander J Foss
Richard M Gregson
Daisy MacKeith
Nicola Herbison
Isabel M Ash
Sue V Cobb
Richard M Eastgate
Trish Hepburn
Anthony Vivian
Diane Moore
Stephen M Haworth
the I-BiT Steering group
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Trials / Issue 1/2013
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-14-145

Other articles of this Issue 1/2013

Trials 1/2013 Go to the issue