Establishing New Treatment Approaches for Amblyopia: Perceptual Learning and Video Games

NCT ID: NCT05522972

Last Updated: 2025-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-13

Study Completion Date

2029-08-31

Brief Summary

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Amblyopia, a developmental abnormality that impairs spatial vision, is a major cause of vision loss, resulting in reduced visual acuity and reduced sensitivity to contrast. This study uses psychophysical measures to study neural plasticity in both adults and children with amblyopia.

Detailed Description

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Amblyopia, a developmental abnormality that impairs spatial vision, is a major cause of vision loss, resulting in reduced visual acuity and reduced sensitivity to contrast. Our previous findings (see Publications) show that the adult amblyopic brain is still plastic and malleable, suggesting that active approach is potential useful in treating amblyopia.The goal of this project is to assess the limits and mechanisms of neural plasticity in both normal and amblyopic spatial vision. This study uses psychophysical measures to study neural plasticity in both adults and children with amblyopia. Research participants will be asked to practice a visual discrimination task (perceptual learning) or to play video games with the amblyopic eye for a period of time. A range of visual functions will be monitored during the course of treatment.

Conditions

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Amblyopia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Video Games

Participants will be required to play video games for a period of time: 1-2 hrs per session, 4-5 sessions/week for \~1-6 months

Group Type EXPERIMENTAL

Video Game Vision Training

Intervention Type BEHAVIORAL

A new approach for improving amblyopic vision using video games

Perceptual learning

Participants will be required to practice a visual discrimination task (e.g. visual acuity, position acuity, contrast sensitivity, \& stereoacuity) for a period of time: 1-2 hrs per session, 4-5 sessions/week for \~1-6 months

Group Type EXPERIMENTAL

Perceptual Learning

Intervention Type BEHAVIORAL

A new approach for improving amblyopic vision with perceptual learning

Occlusion therapy

Participants will be required to cover the dominant eye during the day in order to push the brain to use the fellow amblyopic eye: 1-2 hrs per session, 4-5 sessions/week for \~1-6 months

Group Type ACTIVE_COMPARATOR

Occlusion Therapy

Intervention Type BEHAVIORAL

Conventional treatment for amblyopia

Interventions

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Video Game Vision Training

A new approach for improving amblyopic vision using video games

Intervention Type BEHAVIORAL

Perceptual Learning

A new approach for improving amblyopic vision with perceptual learning

Intervention Type BEHAVIORAL

Occlusion Therapy

Conventional treatment for amblyopia

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* adults and children with normal vision or amblyopia
* amblyopia: interocular VA difference of 0.1 logMAR or more

Exclusion Criteria

* any ocular pathological conditions, nystagmus
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nova Southeastern University

OTHER

Sponsor Role lead

Responsible Party

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Roger W. Li

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Roger W Li, OD, PhD

Role: PRINCIPAL_INVESTIGATOR

Nova Southeastern University College of Optometry

Locations

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Nova Southeastern University College of Optometry

Fort Lauderdale, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Roger W Li, OD, PhD

Role: CONTACT

954-262-1436

Facility Contacts

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Roger Li, OD, PhD

Role: primary

954-262-1436

References

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Li RW, Li BZ, Chat SW, Patel SS, Chung STL, Levi DM. Playing three-dimensional video games boosts stereo vision. Curr Biol. 2024 Jun 3;34(11):R524-R525. doi: 10.1016/j.cub.2024.04.032.

Reference Type BACKGROUND
PMID: 38834021 (View on PubMed)

Leung TW, Li RW, Kee CS. Brief Adaptation to Astigmatism Reduces Meridional Anisotropy in Contrast Sensitivity. Invest Ophthalmol Vis Sci. 2023 Sep 1;64(12):4. doi: 10.1167/iovs.64.12.4.

Reference Type BACKGROUND
PMID: 37656478 (View on PubMed)

Li RW, Levi DM. Characterizing the mechanisms of improvement for position discrimination in adult amblyopia. J Vis. 2004 Jun 1;4(6):476-87. doi: 10.1167/4.6.7.

Reference Type BACKGROUND
PMID: 15330715 (View on PubMed)

Bahnson BJ, Anderson VE. Isotope effects on the crotonase reaction. Biochemistry. 1989 May 16;28(10):4173-81. doi: 10.1021/bi00436a008.

Reference Type BACKGROUND
PMID: 2765479 (View on PubMed)

Li RW, Provost A, Levi DM. Extended perceptual learning results in substantial recovery of positional acuity and visual acuity in juvenile amblyopia. Invest Ophthalmol Vis Sci. 2007 Nov;48(11):5046-51. doi: 10.1167/iovs.07-0324.

Reference Type BACKGROUND
PMID: 17962456 (View on PubMed)

Li RW, Young KG, Hoenig P, Levi DM. Perceptual learning improves visual performance in juvenile amblyopia. Invest Ophthalmol Vis Sci. 2005 Sep;46(9):3161-8. doi: 10.1167/iovs.05-0286.

Reference Type BACKGROUND
PMID: 16123415 (View on PubMed)

Li RW, Ngo CV, Levi DM. Relieving the attentional blink in the amblyopic brain with video games. Sci Rep. 2015 Feb 26;5:8483. doi: 10.1038/srep08483.

Reference Type BACKGROUND
PMID: 25715870 (View on PubMed)

Li RW, Ngo C, Nguyen J, Levi DM. Video-game play induces plasticity in the visual system of adults with amblyopia. PLoS Biol. 2011 Aug;9(8):e1001135. doi: 10.1371/journal.pbio.1001135. Epub 2011 Aug 30.

Reference Type BACKGROUND
PMID: 21912514 (View on PubMed)

Li RW, Tran KD, Bui JK, Antonucci MM, Ngo CV, Levi DM. Improving Adult Amblyopic Vision with Stereoscopic 3-Dimensional Video Games. Ophthalmology. 2018 Oct;125(10):1660-1662. doi: 10.1016/j.ophtha.2018.04.025. Epub 2018 May 18. No abstract available.

Reference Type BACKGROUND
PMID: 29779684 (View on PubMed)

Li RW, Tran TT, Craven AP, Leung TW, Chat SW, Levi DM. Sharpening coarse-to-fine stereo vision by perceptual learning: asymmetric transfer across the spatial frequency spectrum. R Soc Open Sci. 2016 Jan 20;3(1):150523. doi: 10.1098/rsos.150523. eCollection 2016 Jan.

Reference Type BACKGROUND
PMID: 26909178 (View on PubMed)

Li RW, So K, Wu TH, Craven AP, Tran TT, Gustafson KM, Levi DM. Monocular blur alters the tuning characteristics of stereopsis for spatial frequency and size. R Soc Open Sci. 2016 Sep 21;3(9):160273. doi: 10.1098/rsos.160273. eCollection 2016 Sep.

Reference Type BACKGROUND
PMID: 27703690 (View on PubMed)

Li RW, Levi DM, Klein SA. Perceptual learning improves efficiency by re-tuning the decision 'template' for position discrimination. Nat Neurosci. 2004 Feb;7(2):178-83. doi: 10.1038/nn1183. Epub 2004 Jan 18.

Reference Type BACKGROUND
PMID: 14730311 (View on PubMed)

Other Identifiers

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2022-344

Identifier Type: -

Identifier Source: org_study_id