The Psychological Impact of Amblyopia Treatment: A Systematic Literature Review

Aim: The aim of this literature review was to determine if a consensus could be reached on whether amblyopia treatment causes distress to patients and/or their guardians, and if so, establish the impact of this reported psychological distress upon paediatric patients and/or their parents/guardians....

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Main Authors: Louisa Haine, Isaac Taylor, Megan Vaughan
Format: Article
Language:English
Published: White Rose University Press 2025-01-01
Series:British and Irish Orthoptic Journal
Subjects:
Online Access:https://account.bioj-online.com/index.php/wr-j-bioj/article/view/426
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author Louisa Haine
Isaac Taylor
Megan Vaughan
author_facet Louisa Haine
Isaac Taylor
Megan Vaughan
author_sort Louisa Haine
collection DOAJ
description Aim: The aim of this literature review was to determine if a consensus could be reached on whether amblyopia treatment causes distress to patients and/or their guardians, and if so, establish the impact of this reported psychological distress upon paediatric patients and/or their parents/guardians. Methods: A systematic review of the literature was conducted of all publications written in English. Search terms included both MeSH terms and alternatives related to amblyopia and psychological distress. Evidence quality was assessed using an adapted Newcastle-Ottawa Score (NOS) and evaluation of the literature was used to form a narrative synthesis of the findings. Results: Initial searches yielded 7,838 titles in total, with 25 peer reviewed papers published between 1999 and 2021 meeting the study inclusion criteria. Factors such as the presence of strabismus, moderate and severe amblyopic density, occlusive patch treatment and patching during school age increase the likelihood of experiencing distress as a result of amblyopia treatment. Conclusions: Both parents/guardians and patients can experience psychological distress as a result of undertaking amblyopia treatment. School-aged children and those receiving occlusion therapy in the form of patching report higher distress than infants and young-children, and those receiving atropine occlusion therapy or refractive correction only. Further study measuring the physiological markers of distress such as Cortisol and BDNF, is recommended.
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spelling doaj-art-2ab404a2376d4b48b96d5c4b1bcbaabd2025-02-11T05:30:38ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902025-01-01211–141–1410.22599/bioj.426426The Psychological Impact of Amblyopia Treatment: A Systematic Literature ReviewLouisa Haine0https://orcid.org/0000-0001-8149-680XIsaac Taylor1Megan Vaughan2https://orcid.org/0000-0001-7160-2170Anglia Ruskin UniversityAnglia Ruskin UniversityUCLAim: The aim of this literature review was to determine if a consensus could be reached on whether amblyopia treatment causes distress to patients and/or their guardians, and if so, establish the impact of this reported psychological distress upon paediatric patients and/or their parents/guardians. Methods: A systematic review of the literature was conducted of all publications written in English. Search terms included both MeSH terms and alternatives related to amblyopia and psychological distress. Evidence quality was assessed using an adapted Newcastle-Ottawa Score (NOS) and evaluation of the literature was used to form a narrative synthesis of the findings. Results: Initial searches yielded 7,838 titles in total, with 25 peer reviewed papers published between 1999 and 2021 meeting the study inclusion criteria. Factors such as the presence of strabismus, moderate and severe amblyopic density, occlusive patch treatment and patching during school age increase the likelihood of experiencing distress as a result of amblyopia treatment. Conclusions: Both parents/guardians and patients can experience psychological distress as a result of undertaking amblyopia treatment. School-aged children and those receiving occlusion therapy in the form of patching report higher distress than infants and young-children, and those receiving atropine occlusion therapy or refractive correction only. Further study measuring the physiological markers of distress such as Cortisol and BDNF, is recommended.https://account.bioj-online.com/index.php/wr-j-bioj/article/view/426amblyopiatreatmentocclusionpsychological distressreview
spellingShingle Louisa Haine
Isaac Taylor
Megan Vaughan
The Psychological Impact of Amblyopia Treatment: A Systematic Literature Review
British and Irish Orthoptic Journal
amblyopia
treatment
occlusion
psychological distress
review
title The Psychological Impact of Amblyopia Treatment: A Systematic Literature Review
title_full The Psychological Impact of Amblyopia Treatment: A Systematic Literature Review
title_fullStr The Psychological Impact of Amblyopia Treatment: A Systematic Literature Review
title_full_unstemmed The Psychological Impact of Amblyopia Treatment: A Systematic Literature Review
title_short The Psychological Impact of Amblyopia Treatment: A Systematic Literature Review
title_sort psychological impact of amblyopia treatment a systematic literature review
topic amblyopia
treatment
occlusion
psychological distress
review
url https://account.bioj-online.com/index.php/wr-j-bioj/article/view/426
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