Promising New Treatment for Lazy Eye

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A research team led by Dr. Robert Hess from McGill University and the Research Institute of the McGill University Health Centre (RI-MUHC) has used the popular puzzle video game Tetris in an innovative approach to treat adult amblyopia, commonly known as “lazy eye”. By distributing information between the two eyes in a complementary fashion, the video game trains both eyes to work together, which is counter to previous treatments for the disorder (e.g. patching). The research is published in the prestigious journal Current Biology.

Amblyopia is the most common cause of visual impairment in childhood, affecting up to three per cent of the population. Previous treatments for the disorder, which have focused largely on covering the stronger eye in order to force the weaker eye to work, can be quite successful in children but has proven to be ineffective in adults. 

“The key to improving vision for adults, who currently have no other treatment options, was to set up conditions that would enable the two eyes to cooperate for the first time in a given task,” says Dr. Hess, senior author of the paper and Director of the Research Department of Ophthalmology at the RI-MUHC and at McGill.

According to Dr. Hess and his colleagues, the adult human brain has a significant degree of plasticity and this provides the basis for treating a range of conditions where vision has been lost as a result of a disrupted period of early visual development in childhood. 

“Using head-mounted video goggles we were able to display the game dichoptically, where one eye was allowed to see only the falling objects, and the other eye was allowed to see only the ground plane objects,” explains Dr. Hess, who also serves as director of McGill Vision Research.  “Forcing the eyes to work together, we believed, would improve vision in the lazy eye.” 

The researchers tested a sample of 18 adults with amblyopia. Nine participants played the game monocularly with the weaker eye, while the stronger eye was patched; the other nine played the same game dichoptically, where each eye was allowed to view a separate part of the game. After two weeks, the group playing the dichoptic game showed a dramatic improvement in the vision of the weaker eye, as well as in 3-D depth perception. When the monocular patching group, which had showed only a moderate improvement, was switched to the new dichoptic training, the vision of this group also improved dramatically. 

The suitability of this treatment for children will be assessed later this year in a clinical trial across North America.

Written by Trevor Miranda

Dr. Miranda was raised in Simcoe, Ontario and graduated from the University of Waterloo with his Doctorate of Optometry in 1995. Following graduation, he moved to beautiful Vancouver Island, where he continues to serve the eye care needs of the Cowichan Valley. Trevor is also an active member of the Third World Eye Care Society and has participated with other professionals to improve the vision of the less fortunate. Dr. Miranda was named Optometrist of the Year by the British Columbia Association of Optometrists in March 2015. This prestigious honour recognized Dr. Miranda’s commitment to providing every patient with exceptional care while mentoring optometrists across Canada. Outside the office, you will find Trevor enjoying hockey, coaching soccer, involved with the South Cowichan Rotary Club, and spending time with his wife Cheryl and their three children. Trevor looks forward to continuing to care for the eyes of the Cowichan Valley and welcomes new patients without a referral. Dr. Miranda is available for appointments in our Duncan and Cobble Hill.
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