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

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....

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Main Authors: Foss, Alexander J., Gregson, Richard M., MacKeith, Daisy, Herbison, Nicola, Ash, Isabel M., Cobb, Sue V., Eastgate, Richard M., Hepburn, Trish, Vivian, Anthony, Moore, Diane, Haworth, Stephen M.
Format: Article
Published: BioMed Central 2013
Online Access:https://eprints.nottingham.ac.uk/2928/
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author Foss, Alexander J.
Gregson, Richard M.
MacKeith, Daisy
Herbison, Nicola
Ash, Isabel M.
Cobb, Sue V.
Eastgate, Richard M.
Hepburn, Trish
Vivian, Anthony
Moore, Diane
Haworth, Stephen M.
author_facet Foss, Alexander J.
Gregson, Richard M.
MacKeith, Daisy
Herbison, Nicola
Ash, Isabel M.
Cobb, Sue V.
Eastgate, Richard M.
Hepburn, Trish
Vivian, Anthony
Moore, Diane
Haworth, Stephen M.
author_sort Foss, Alexander J.
building Nottingham Research Data Repository
collection Online Access
description 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 Keywords: Amblyopia, I-BiT™, Randomised clinical trial, Lazy eye, Child, Visual acuity, Binocular
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institution University of Nottingham Malaysia Campus
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last_indexed 2025-11-14T18:20:08Z
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publisher BioMed Central
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spelling nottingham-29282020-05-04T16:36:54Z https://eprints.nottingham.ac.uk/2928/ 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 Foss, Alexander J. Gregson, Richard M. MacKeith, Daisy Herbison, Nicola Ash, Isabel M. Cobb, Sue V. Eastgate, Richard M. Hepburn, Trish Vivian, Anthony Moore, Diane Haworth, Stephen M. 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 Keywords: Amblyopia, I-BiT™, Randomised clinical trial, Lazy eye, Child, Visual acuity, Binocular BioMed Central 2013-05-20 Article PeerReviewed Foss, Alexander J., Gregson, Richard M., MacKeith, Daisy, Herbison, Nicola, Ash, Isabel M., Cobb, Sue V., Eastgate, Richard M., Hepburn, Trish, Vivian, Anthony, Moore, Diane and Haworth, Stephen M. (2013) 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. Trials, 14 (145). 145/1-145/7. ISSN 1745-6215 http://www.trialsjournal.com/content/14/1/145 doi:10.1186/1745-6215-14-145 doi:10.1186/1745-6215-14-145
spellingShingle Foss, Alexander J.
Gregson, Richard M.
MacKeith, Daisy
Herbison, Nicola
Ash, Isabel M.
Cobb, Sue V.
Eastgate, Richard M.
Hepburn, Trish
Vivian, Anthony
Moore, Diane
Haworth, Stephen M.
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
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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
url https://eprints.nottingham.ac.uk/2928/
https://eprints.nottingham.ac.uk/2928/
https://eprints.nottingham.ac.uk/2928/