Digital therapeutic improves visual acuity and encourages high adherence in amblyopic children in open-label pilot study.

Background: The effectiveness of amblyopia therapy can be limited by poor adherence. Dichoptic therapies are a new approach, but recent trials have demonstrated difficulty maintaining high adherence over extended periods of at-home treatment. We evaluated the efficacy and adherence of Luminopia One-a dichoptic treatment that applies therapeutic modifications to streaming content chosen by the patient.

Improved adherence and treatment outcomes with an engaging, personalized digital therapeutic in amblyopia.

Given the prevalence of poor adherence to therapy and the biases of self-reporting across healthcare, we hypothesized that an engaging, personalized therapy may improve adherence and treatment outcomes in the home. We tested this hypothesis in the initial indication of amblyopia, a neurodevelopmental disorder for which available treatments are limited by low adherence. We designed a novel digital therapeutic that modifies patient-selected cinematic content in real-time into therapeutic visual input, while objectively monitoring adherence.

Selection of patients and results of 25 years of topical anesthesia and adjustable suture surgery.

Background And Purpose: The author has used adjustable suture techniques either in the operating room with topical anesthesia or at a later time after retrobulbar or general anesthesia for over 25 years. Careful selection of patients is essential to the success of this technique. It is the purpose of this paper to report the selection criteria used and to compare the results of the two methods utilized.

Restrictive horizontal strabismus following blepharoplasty.

Purpose: To report a case of horizontal diplopia after a four-lid blepharoplasty.

Design: Observational and interventional case report.

Methods: Analysis of the history and management of a 64-year-old man who underwent a four-lid blepharoplasty, after which he developed horizontal diplopia.

Reasons for delay of surgical intervention in adult strabismus.

Background: It has been our impression that adult patients with strabismus frequently delay surgical intervention.

Objectives: To determine the length of time adult patients waited before undergoing strabismus surgery and to determine the reasons why these delays occurred.

Design, Setting, And Participants: Prospective survey of consecutive patients who delayed strabismus surgery for more than 1 year.