The aim of the current study was to evaluate the results of a novel dichoptic training program us... more The aim of the current study was to evaluate the results of a novel dichoptic training program using an online platform in a group of subjects with refractive amblyopia, performing a comparative analysis of unilateral and bilateral amblyopic cases. For this purpose, a retrospective study analysis of data of 161 children (4–13 years) who underwent dichoptic treatment with the Bynocs® platform (Kanohi Eye Pvt. Ltd., Mumbai, India) was performed. In all cases, the therapy protocol consisted of sessions of training of 30 min daily 5 times a week for 6 weeks. Best corrected visual acuity (BCVA) in the non-dominant eye improved significantly with the treatment, with a mean change of 0.39 logMAR in the whole sample (p < 0.001). Regarding binocularity, the binocular function (BF) score also experienced a significant improvement (p < 0.001), with a mean change of 1.55 with therapy in the whole sample. The BCVA of the dominant eye only improved significantly (p < 0.001) in the isomet...
The aim of the current study was to evaluate the results of a novel dichoptic training program us... more The aim of the current study was to evaluate the results of a novel dichoptic training program using an online platform in a group of subjects with refractive amblyopia, performing a comparative analysis of unilateral and bilateral amblyopic cases. For this purpose, a retrospective study analysis of data of 161 children (4-13 years) who underwent dichoptic treatment with the Bynocs ® platform (Kanohi Eye Pvt. Ltd., India) was performed. In all cases, the therapy protocol consisted of sessions of training of 30 min daily 5 times a week for 6 weeks. Best corrected visual acuity (BCVA) in the non-dominant eye improved significantly with the treatment, with a mean change of 0.39 logMAR in the whole sample (p < 0.001). Regarding binocularity, the binocular function (BF) score also experienced a significant improvement (p < 0.001), with a mean change of 1.55 with therapy in the whole sample. The BCVA of the dominant eye only improved significantly (p < 0.001) in the isometropic amblyopic subgroup. In conclusion, the use of the dichoptic therapy with the digital platform evaluated allows an effective restoration of visual acuity and binocular function in children with anisometropic and isometropic amblyopia.
1. Jennings AJ. Behavioural optometry: A critical review. Optom Pract 2000;1:67‐78. 2. Miyasaka J... more 1. Jennings AJ. Behavioural optometry: A critical review. Optom Pract 2000;1:67‐78. 2. Miyasaka JDS, Vieira RVG, Novalo‐Goto ES, Montagna E, Wajnsztejn R. Irlen syndrome: Systematic review and level of evidence analysis. Arg Neuropsiquiatr 2019;77:194‐207. 3. Griffiths PG, Taylor RH, Hendersons LM, Barrett BT. The effect of coloured Overlays and lenses on reading: A systematic review of literature. Ophthalmic Physiol Opt 2016;36:519‐44. 4. Ritchie SJ, Della Sala S, McIntosh RD. Irlen colored overlays do not alleviate reading difficulties. Pediatrics 2011;128:932‐8. 5. Williams GJ, Kitchener G, Press LJ, Scheimen MM, Steele GT. The use of tinted lenses and colored overlays for the treatment Access this article online Quick Response Code: Website: www.ijo.in
Dear Editor, Conventional amblyopia therapy in adults is associated with poor results due to lack... more Dear Editor, Conventional amblyopia therapy in adults is associated with poor results due to lack of plasticity. Binocular therapies like dichoptic games and dichoptic movies have shown promising results in adults long after the critical period is over.[1,2] However, in a recent level 1 high‐quality randomized controlled trial,[3] dichoptic therapy (DT) as a monotherapy was not effective in unilateral anisometropic and strabismic amblyopia in children.
Purpose: To describe the methodology of Aditya Jyot-Diabetic Retinopathy in Urban Mumbai Slums St... more Purpose: To describe the methodology of Aditya Jyot-Diabetic Retinopathy in Urban Mumbai Slums Study (AJ-DRUMSS), which was designed (i) to estimate the prevalence of diabetic retinopathy (DR) in a general population, (ii) to study the risk factors associated with DR in those with type 2 diabetes mellitus (DM), and (iii) to create awareness for early detection and develop timely interventional management for DR. Methods: AJ-DRUMSS is an ongoing population-based cross sectional study conducted in seven wards of slums in Mumbai, India, wherein eligible subjects from the general population were screened for DR and profiled for their demographic, social and biochemical parameters to study the associations of these factors. Results: To date, nearly 54,000 households have been enumerated for both awareness and DR prevalence in five study areas (out of seven) during 17 awareness campaigns and 78 DR screening camps. Of these, 4295 households were included in AJ-DRUMSS. Nearly 15,000 camp subjects (including subjects from awarenessfocused areas who also turned up for the screening camps) were screened from the total enumerated households, of which 16.1% were diagnosed with type 2 DM. A total of 14.5% of these had evidence of DR and 3.5% had sight-threatening DR. Conclusions: A detailed study design of AJ-DRUMSS is described. In the screening camps nearly 3.5% of the diabetic population had sight-threatening DR, which needed an active interventional strategy. This study will help in formulating efficient eye care policies, making optimum use of available resources, reorienting healthcare providers and the ignorant within the population regarding the need for periodic ophthalmic surveillance and timely intervention.
The aim of the current study was to evaluate the results of a novel dichoptic training program us... more The aim of the current study was to evaluate the results of a novel dichoptic training program using an online platform in a group of subjects with refractive amblyopia, performing a comparative analysis of unilateral and bilateral amblyopic cases. For this purpose, a retrospective study analysis of data of 161 children (4–13 years) who underwent dichoptic treatment with the Bynocs® platform (Kanohi Eye Pvt. Ltd., Mumbai, India) was performed. In all cases, the therapy protocol consisted of sessions of training of 30 min daily 5 times a week for 6 weeks. Best corrected visual acuity (BCVA) in the non-dominant eye improved significantly with the treatment, with a mean change of 0.39 logMAR in the whole sample (p < 0.001). Regarding binocularity, the binocular function (BF) score also experienced a significant improvement (p < 0.001), with a mean change of 1.55 with therapy in the whole sample. The BCVA of the dominant eye only improved significantly (p < 0.001) in the isomet...
The aim of the current study was to evaluate the results of a novel dichoptic training program us... more The aim of the current study was to evaluate the results of a novel dichoptic training program using an online platform in a group of subjects with refractive amblyopia, performing a comparative analysis of unilateral and bilateral amblyopic cases. For this purpose, a retrospective study analysis of data of 161 children (4-13 years) who underwent dichoptic treatment with the Bynocs ® platform (Kanohi Eye Pvt. Ltd., India) was performed. In all cases, the therapy protocol consisted of sessions of training of 30 min daily 5 times a week for 6 weeks. Best corrected visual acuity (BCVA) in the non-dominant eye improved significantly with the treatment, with a mean change of 0.39 logMAR in the whole sample (p < 0.001). Regarding binocularity, the binocular function (BF) score also experienced a significant improvement (p < 0.001), with a mean change of 1.55 with therapy in the whole sample. The BCVA of the dominant eye only improved significantly (p < 0.001) in the isometropic amblyopic subgroup. In conclusion, the use of the dichoptic therapy with the digital platform evaluated allows an effective restoration of visual acuity and binocular function in children with anisometropic and isometropic amblyopia.
1. Jennings AJ. Behavioural optometry: A critical review. Optom Pract 2000;1:67‐78. 2. Miyasaka J... more 1. Jennings AJ. Behavioural optometry: A critical review. Optom Pract 2000;1:67‐78. 2. Miyasaka JDS, Vieira RVG, Novalo‐Goto ES, Montagna E, Wajnsztejn R. Irlen syndrome: Systematic review and level of evidence analysis. Arg Neuropsiquiatr 2019;77:194‐207. 3. Griffiths PG, Taylor RH, Hendersons LM, Barrett BT. The effect of coloured Overlays and lenses on reading: A systematic review of literature. Ophthalmic Physiol Opt 2016;36:519‐44. 4. Ritchie SJ, Della Sala S, McIntosh RD. Irlen colored overlays do not alleviate reading difficulties. Pediatrics 2011;128:932‐8. 5. Williams GJ, Kitchener G, Press LJ, Scheimen MM, Steele GT. The use of tinted lenses and colored overlays for the treatment Access this article online Quick Response Code: Website: www.ijo.in
Dear Editor, Conventional amblyopia therapy in adults is associated with poor results due to lack... more Dear Editor, Conventional amblyopia therapy in adults is associated with poor results due to lack of plasticity. Binocular therapies like dichoptic games and dichoptic movies have shown promising results in adults long after the critical period is over.[1,2] However, in a recent level 1 high‐quality randomized controlled trial,[3] dichoptic therapy (DT) as a monotherapy was not effective in unilateral anisometropic and strabismic amblyopia in children.
Purpose: To describe the methodology of Aditya Jyot-Diabetic Retinopathy in Urban Mumbai Slums St... more Purpose: To describe the methodology of Aditya Jyot-Diabetic Retinopathy in Urban Mumbai Slums Study (AJ-DRUMSS), which was designed (i) to estimate the prevalence of diabetic retinopathy (DR) in a general population, (ii) to study the risk factors associated with DR in those with type 2 diabetes mellitus (DM), and (iii) to create awareness for early detection and develop timely interventional management for DR. Methods: AJ-DRUMSS is an ongoing population-based cross sectional study conducted in seven wards of slums in Mumbai, India, wherein eligible subjects from the general population were screened for DR and profiled for their demographic, social and biochemical parameters to study the associations of these factors. Results: To date, nearly 54,000 households have been enumerated for both awareness and DR prevalence in five study areas (out of seven) during 17 awareness campaigns and 78 DR screening camps. Of these, 4295 households were included in AJ-DRUMSS. Nearly 15,000 camp subjects (including subjects from awarenessfocused areas who also turned up for the screening camps) were screened from the total enumerated households, of which 16.1% were diagnosed with type 2 DM. A total of 14.5% of these had evidence of DR and 3.5% had sight-threatening DR. Conclusions: A detailed study design of AJ-DRUMSS is described. In the screening camps nearly 3.5% of the diabetic population had sight-threatening DR, which needed an active interventional strategy. This study will help in formulating efficient eye care policies, making optimum use of available resources, reorienting healthcare providers and the ignorant within the population regarding the need for periodic ophthalmic surveillance and timely intervention.
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