A push-pull treatment for strengthening the ‘lazy eye’ in amblyopia

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A push-pull treatment for strengthening the ‘lazy eye’ in amblyopia Teng Leng Ooi, Yong R. Su, Danielle M. Natale, Zijiang J. He  Current Biology  Volume 23, Issue 8, Pages R309-R310 (April 2013) DOI: 10.1016/j.cub.2013.03.004 Copyright © 2013 Elsevier Ltd Terms and Conditions

Figure 1 Push-pull training for treating amblyopia. (A) Key presentation sequence in the push-pull training protocol. The observer achieves binocular alignment with the nonius fixation target. An attention cue (square frame) is presented to the weak amblyopic eye to pave the way for the two subsequent half-images of the binocular rivalry gratings viewed by the amblyopic eye to be perceived (dominant). This allows the observer to perform a secondary task of discriminating whether the first (vertical) or second (near-vertical) grating has a more counter-clockwise orientation. Alternatively, the secondary task can be contrast discrimination (Supplemental). Observers S1, S2 and S3, respectively, underwent 15, 15 and 7 training sessions (∼1.5 hours/session). (B) Bar graphs plotting the data of each observer (S1, S2 and S3) measured immediately before (pre) and after (post) the training phase, and 4–8 months after the training ended (retention). (i) The balance contrast values of the amblyopic eye (left graph) are lower after the training and are retained while those of the strong eye (right graph) either become higher or remain unchanged. (ii) Relative sensory eye dominance, defined as the difference between the weak and strong eyes’ balance contrast values, is reduced after training and retained. (iii) The monocular contrast threshold of the weak eye (left graph) either becomes lower or remains unchanged after training while that of the strong eye (right graph) is unchanged after training. Note: The contrast threshold is defined in “log unit of percent contrast” wherein 10% contrast equates to 1 log unit. (iv) Stereo threshold is reduced after training and retained. Current Biology 2013 23, R309-R310DOI: (10.1016/j.cub.2013.03.004) Copyright © 2013 Elsevier Ltd Terms and Conditions