Fatores prognósticos do tratamento oclusivo na ambliopia anisometrópica: uma revisão integrativa

Authors

  • Maíra Lima Santos Gonçalves Ferreira
  • Cristiano queiroz de Mendonça
  • Lusa Reis Silva

DOI:

https://doi.org/10.34119/bjhrv8n3-216

Keywords:

ambliopia, anisometropia, oclusão ocular, fatores prognósticos, terapia com realidade virtual

Abstract

A ambliopia anisometrópica é uma das principais causas de deficiência visual na infância. Seu tratamento — geralmente por meio da oclusão do olho dominante — apresenta taxas de sucesso variáveis conforme diferentes fatores prognósticos. Esta revisão integrativa analisou ensaios clínicos randomizados recentes para identificar os principais determinantes dos desfechos terapêuticos, como idade, grau de anisometropia, adesão ao tratamento e uso de terapias complementares. Observou-se que abordagens combinadas e personalizadas, como terapia dicóptica e realidade virtual, oferecem resultados promissores ao melhorar a adesão e a eficácia. O estudo reforça a importância da avaliação individualizada para otimizar o tratamento.

References

BIRCH, E. E. et al. Baseline and clinical factors associated with treatment response in amblyopia: a randomized clinical trial. Ophthalmology, 2023.

FU, E. et al. Treatment of amblyopia through video game therapy. Journal of Pediatric Ophthalmology, 2023.

JOST, R. M. et al. Randomized clinical trial of dichoptic movie streaming versus patching for treatment of amblyopia in children aged 3 to 7 years. American Journal of Ophthalmology, 2023.

KADHUM, A. et al. Supervised dichoptic gaming versus monitored occlusion therapy for childhood amblyopia: Effectiveness and efficiency. Journal of Pediatric Ophthalmology, 2024.

LEE, Y. H. et al. Short-term perceptual learning game does not improve patching-resistant amblyopia in older children. Ophthalmology Research, 2023.

LI, Y. et al. Efficacy of amblyopia interventions: A systematic review and network meta-analysis. Journal of Vision Science, 2023.

MOHAMED, S. A. et al. Syntonic phototherapy versus part-time occlusion for treatment of refractive amblyopia. Scientific Reports, 2025.

OKE, I. et al. Factors associated with visual acuity improvement with digital binocular therapy for amblyopia. Journal of Pediatric Ophthalmology & Strabismus, 2023.

PROUDLOCK, F. A. et al. Treatment outcomes of early patching versus prolonged optical correction in children with amblyopia: The EuPatch randomized trial. Ophthalmology, 2024.

RAJAVI, Z. et al. Virtual reality games in amblyopia therapy: A randomized clinical trial. Journal of Amblyopia Therapy, 2023.

ROY, S. et al. Comparison of dichoptic therapy versus occlusion therapy in children with anisometropic amblyopia: A randomized controlled study. American Journal of Ophthalmology, 2024.

WYGNANSKI-JAFFE, T. et al. High adherence dichoptic treatment versus patching in anisometropic amblyopia and small-angle strabismus: A randomized clinical trial. Ophthalmology, 2024.

XIAO, S. et al. Improved adherence and treatment outcomes with an engaging, personalized digital therapy for amblyopia. Ophthalmology & Visual Science, 2023.

YEH, W. H. et al. Portable rotating grating stimulation for anisometropic amblyopia with 6 months of training. Clinical & Experimental Ophthalmology, 2023.

YUAN, Y. et al. Alternating flashing glass: A novel anti-suppression approach for anisometropic amblyopia treatment. Journal of Vision Therapy, 2023.

Published

06/10/2025

How to Cite

FERREIRA, M. L. S. G.; MENDONÇA, C. queiroz de; SILVA, L. R. Fatores prognósticos do tratamento oclusivo na ambliopia anisometrópica: uma revisão integrativa. Brazilian Journal of Health Review, [S. l.], v. 8, n. 3, p. e80295, 2025. DOI: 10.34119/bjhrv8n3-216. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/80295. Acesso em: 16 oct. 2026.

Issue

Section

Original Papers