Trial Outcomes & Findings for New Visual Acuity and Crowding Tests for Better Detection of Amblyopia (NCT NCT03505606)

NCT ID: NCT03505606

Last Updated: 2024-10-21

Results Overview

Threshold visual acuity measured in LogMAR

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

76 participants

Primary outcome timeframe

Visual acuities for each participant were measured at a single time point, on a single day; day one of each participants' recruitment.

Results posted on

2024-10-21

Participant Flow

Examination of visual acuity using the Sonksen Logmar test (SLT) Examination of Stereoacuity using the Frisby Stereotest and Asteroid Stereotest.

Participant milestones

Participant milestones
Measure
Control
Visual acuity tests on control participants Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Strabismic/Mixed Amblyopes
Visual acuity tests on strabismic/mixed amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Anisometropic Amblyopes
Visual acuity tests on anisometropic amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Overall Study
STARTED
25
25
26
Overall Study
COMPLETED
24
22
22
Overall Study
NOT COMPLETED
1
3
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Control
Visual acuity tests on control participants Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Strabismic/Mixed Amblyopes
Visual acuity tests on strabismic/mixed amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Anisometropic Amblyopes
Visual acuity tests on anisometropic amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Overall Study
Unable to complete testing / poor co-operation
0
1
0
Overall Study
Under observation at Orthoptic clinic for high bilateral hypermetropia
1
0
0
Overall Study
Stimulus deprivation / previous haemangioma
0
1
0
Overall Study
Poor compliance with refractive correction
0
0
1
Overall Study
Insufficient anisometropia
0
0
2
Overall Study
Ectopia Lentis
0
0
1
Overall Study
alternation of amblyopic eye
0
1
0

Baseline Characteristics

Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye, and non-compliance with testing.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=24 Participants
Visual acuity tests on control participants Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Strabismic/Mixed Amblyopes
n=22 Participants
Visual acuity tests on strabismic/mixed amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Anisometropic Amblyopes
n=22 Participants
Visual acuity tests on anisometropic amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Total
n=68 Participants
Total of all reporting groups
Age, Categorical
<=18 years
24 Participants
n=5 Participants
22 Participants
n=7 Participants
22 Participants
n=5 Participants
68 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
7.4 years
n=5 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye, and non-compliance with testing.
7.1 years
n=7 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye, and non-compliance with testing.
6.2 years
n=5 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye, and non-compliance with testing.
6.8 years
n=4 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye, and non-compliance with testing.
Sex: Female, Male
Female
17 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
9 Participants
n=7 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
12 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
38 Participants
n=4 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
Sex: Female, Male
Male
7 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
13 Participants
n=7 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
10 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
30 Participants
n=4 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
0 Participants
n=7 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
0 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
0 Participants
n=4 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
22 Participants
n=7 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
20 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
66 Participants
n=4 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
0 Participants
n=7 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
2 Participants
n=5 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
2 Participants
n=4 Participants • Eight participants (1 control and 7amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
Region of Enrollment
United Kingdom
24 participants
n=5 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
22 participants
n=7 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
22 participants
n=5 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
68 participants
n=4 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
LogMAR visual acuity
Right eye (controls), amblyopic eye (amblyopes) (SLT)
-0.077 logMAR
STANDARD_DEVIATION 0.094 • n=5 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
0.352 logMAR
STANDARD_DEVIATION 0.231 • n=7 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
0.195 logMAR
STANDARD_DEVIATION 0.112 • n=5 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
0.193 logMAR
STANDARD_DEVIATION 0.225 • n=4 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
LogMAR visual acuity
Left eye (controls), Fellow eye (amblyopes) (SLT)
-0.079 logMAR
STANDARD_DEVIATION 0.094 • n=5 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
-0.019 logMAR
STANDARD_DEVIATION 0.083 • n=7 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
-0.032 logMAR
STANDARD_DEVIATION 0.089 • n=5 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.
-0.034 logMAR
STANDARD_DEVIATION 0.088 • n=4 Participants • Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.

PRIMARY outcome

Timeframe: Visual acuities for each participant were measured at a single time point, on a single day; day one of each participants' recruitment.

Population: Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.

Threshold visual acuity measured in LogMAR

Outcome measures

Outcome measures
Measure
Control
n=48 eyes
Visual acuity tests on control participants Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Strabismic/Mixed Amblyopes
n=44 eyes
Visual acuity tests on strabismic/mixed amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Anisometropic Amblyopes
n=44 eyes
Visual acuity tests on anisometropic amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Visual Acuity (LogMAR)
Luminance acuity Right eye (control) or Amblyopic eye (amblyopes)
0.004 logMAR
Standard Error 0.024
0.551 logMAR
Standard Error 0.065
0.320 logMAR
Standard Error 0.025
Visual Acuity (LogMAR)
Luminance acuity Left eye (control) or Fellow eye (amblyopes)
0.005 logMAR
Standard Error 0.023
0.115 logMAR
Standard Error 0.028
0.149 logMAR
Standard Error 0.022
Visual Acuity (LogMAR)
Contrast modulated acuity - Right eye (control) or Amblyopic eye (amblyopes)
0.361 logMAR
Standard Error 0.023
0.836 logMAR
Standard Error 0.050
0.676 logMAR
Standard Error 0.028
Visual Acuity (LogMAR)
Contrast modulated acuity - Left eye (controls) or Fellow eye (amblyopes)
0.358 logMAR
Standard Error 0.021
0.470 logMAR
Standard Error 0.026
0.479 logMAR
Standard Error 0.023

PRIMARY outcome

Timeframe: Crowding distances for each participant were measured at a single time point, on a single day; day one of each participants' recruitment.

Population: Eight participants (1 control and 7 amblyopes) were excluded. The excluded control had high bilateral hypermetropia and had previously been under the observation of an orthoptic department for possible bilateral amblyopia. Seven amblyopes were excluded due to poor compliance with their refractive correction, insufficient anisometropia, Ectopia Lentis, Haemangioma, alternation of amblyopic eye and non-compliance with testing.

Foveal critical crowding distance measured in degrees

Outcome measures

Outcome measures
Measure
Control
n=48 eyes
Visual acuity tests on control participants Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Strabismic/Mixed Amblyopes
n=44 eyes
Visual acuity tests on strabismic/mixed amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Anisometropic Amblyopes
n=44 eyes
Visual acuity tests on anisometropic amblyopic participants. Visual acuity tests: Participants to have visual acuity tested with the three modified vision tests.
Foveal Crowding Distance (Degrees)
Foveal crowding distance repeated format - Left eye (controls) and Fellow eye (amblyopes)
0.103 Degrees
Standard Error 0.004
0.113 Degrees
Standard Error 0.007
0.120 Degrees
Standard Error 0.009
Foveal Crowding Distance (Degrees)
Foveal crowding distance Trigram format- Right eye (controls) and Amblyopic eye (amblyopes)
0.088 Degrees
Standard Error 0.008
0.501 Degrees
Standard Error 0.144
0.197 Degrees
Standard Error 0.014
Foveal Crowding Distance (Degrees)
Foveal crowding distance repeated format - Right eye (controls) and Amblyopic eye (amblyopes)
0.096 Degrees
Standard Error 0.011
0.561 Degrees
Standard Error 0.122
0.225 Degrees
Standard Error 0.025
Foveal Crowding Distance (Degrees)
Foveal crowding distance trigram format - Left eye (controls) and Fellow eye (amblyopes)
0.088 Degrees
Standard Error 0.008
0.106 Degrees
Standard Error 0.008
0.110 Degrees
Standard Error 0.009

Adverse Events

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Strabismic/Mixed Amblyopes

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Anisometropic Amblyopes

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Mrs Louisa Haine - Lecturer in Vision Sciences

Anglia Ruskin University

Phone: 01223695445

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place