Der Ophthalmologe

, Volume 113, Issue 4, pp 304–308 | Cite as

Dichoptisches Training bei Amblyopie

Leitthema

Zusammenfassung

Das dichoptische Training ist ein neues Therapieverfahren bei Amblyopie. Es beruht auf einer Bildtrennung (daher „dichoptisch“), bei der das Führungsauge schwach penalisiert wird. Damit wird eine „Balance“ erreicht und das amblyope Auge weniger supprimiert. Im Gegensatz zu Abdecktherapien werden Bildinhalte auf die beiden Augen verteilt. Bei dieser Therapie werden spielerische Aufgaben gestellt, die nur mit Binokularsehen lösbar sind. Die damit erzielte Visusbesserung liegt im Mittel über 5 Studien hinweg bei nur 0,20 ± 0,07 logMAR und ist nicht signifikant besser als konkurrierende Verfahren. Die vorliegende Arbeit erläutert das dichoptische Training, gibt eine Übersicht über die Studienlage, weist auf offene Fragen hin und schließt mit einer persönlichen kritischen Einschätzung.

Schlüsselwörter

Auge Visus Suppression Fusion Binokularität 

Dichoptic training for amblyopia

Abstract

Dichoptic training is a promising new therapeutic approach to amblyopia, which employs simultaneous and separate stimulation of both eyes (thus dichoptic). The contrast for the good eye is reduced thus aiming at a balance with the amblyopic eye. In contrast to monocular patching, binocular vision is trained by video game tasks that can only be solved binocularly. To date the average gain in visual acuity achieved in currently available studies is only 0.20 ± 0.07 logMAR and is not significantly better than competing treatment options. This article explains the basic approach of dichoptic training, summarizes pertinent studies, names unsolved problems and closes with a personal critical assessment.

Keywords

Eye Visual acuity Suppression Fusion Binocularity 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Klinik für AugenheilkundeUniversitätsklinikum FreiburgFreiburgDeutschland

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