Can Retrograde Neurotherapy Effectively Treat Amblyopia in Children? - Ophthalmology

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Can retrograde neurotherapy really treat amblyopia?


Dear Doctor, my son is 12 years old.
When he was in kindergarten, we discovered that he had amblyopia in his left eye (0.3).
We took him to Taichung Danyong Eye Clinic, where the director conducted a thorough examination and concluded that it could not be treated (this was about 7 years ago).
Later, at Changhua Show Chwan Hospital, he underwent various treatments including EEG, patching, and dilation, but none were effective in restoring normal vision.
I recently came across "retrograde neurotherapy" online.
Is this method currently the latest treatment? Can it really treat amblyopia? Thank you.

Xiao Hu, 10~19 year old female. Ask Date: 2005/08/09

Dr. Liu Jingxian reply Ophthalmology


Hello, Xiao Hu: Based on your description, your child is around 12 years old, and the best corrected visual acuity for the amblyopic eye is 0.3 (monocular amblyopia).
The ideal timing for correction is somewhat late.
However, it is still recommended that you first wear glasses with the correct prescription to correct the amblyopic eye.
Although the degree of visual improvement may not match the effect of glasses on normally functioning eyes, it will still be better than not wearing glasses at all.
As for "patching therapy" and "amblyopia training," these are not mandatory treatments.
The amblyopic eye, when subjected to certain stimuli, may show limited visual improvement, but its appearance will look more normal and agile.
Regarding the use of retrograde neurotherapy to treat amblyopia, there is still ongoing research to determine whether it can successfully treat amblyopia without the need for the aforementioned treatment methods.
At this time, I cannot confirm its efficacy.
Wishing you good health.
Dr.
Liu Jingxi, Department of Ophthalmology, Taipei City Hospital, Zhongxing Branch, Taiwan e-Learning Academy.

Reply Date: 2005/08/09

More Info


Amblyopia, commonly known as "lazy eye," is a visual development disorder where one eye fails to achieve normal visual acuity, often due to a lack of proper visual stimulation during early childhood. The condition typically arises from issues such as strabismus (misalignment of the eyes), refractive errors, or other visual impairments that prevent the brain from fully utilizing the affected eye. Traditional treatments for amblyopia have included patching the stronger eye, corrective lenses, and vision therapy.
Recently, there has been interest in various innovative therapies, including retrograde neurotherapy, which is a relatively new concept in the treatment of amblyopia. Retrograde neurotherapy involves stimulating the visual pathways and the brain's processing centers to enhance visual function. The premise is that by engaging the neural circuits associated with vision, it may be possible to improve visual acuity in the amblyopic eye.

However, the effectiveness of retrograde neurotherapy for treating amblyopia in children is still under investigation. While some anecdotal reports and preliminary studies suggest potential benefits, robust clinical trials and comprehensive research are necessary to establish its efficacy and safety. The current consensus in the ophthalmological community is that while innovative therapies are promising, they should not replace established treatment methods without substantial evidence supporting their effectiveness.

In your son's case, given that he has been diagnosed with amblyopia for several years and has undergone various treatments without success, it is crucial to consult with a pediatric ophthalmologist who specializes in amblyopia. They can provide a thorough evaluation of his condition and discuss the most appropriate treatment options based on the latest research and clinical guidelines.
It's also important to note that the age of the patient plays a significant role in the treatment of amblyopia. The critical period for effective treatment is typically before the age of 7, as the visual system is more adaptable during early childhood. While some improvements can still be made in older children and adolescents, the likelihood of achieving normal vision decreases with age.

In summary, while retrograde neurotherapy may represent an exciting avenue for future research in amblyopia treatment, it is essential to approach it with caution. Established methods remain the cornerstone of amblyopia management, and any new treatment should be considered as part of a comprehensive care plan tailored to the individual needs of the patient. Always consult with a qualified healthcare professional before pursuing new treatment options.

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