NDLI: The effect of recent amblyopia research on current practice in the UK.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Newsham, D.
Description	Country affiliation: United kingdom Author Affiliation: Newsham D ( School of Health Sciences, University of Liverpool, Thompson Yates Building, Liverpool, UK. d.newsham@liv.ac.uk)
Abstract	BACKGROUND/AIMS: Several studies have recently provided insights into how amblyopia may be most effectively managed. Despite the new evidence, a US study reported that a recent randomised controlled trial had made little influence on clinical practice. The aims of this research are to assess current practice of amblyopia management in the UK and to determine the comparability with the evidence-based recommendations. METHODS: A questionnaire was constructed to assess current amblyopia management practice, particularly in relation to areas investigated by recent research and emailed to every head orthoptist within the UK. RESULTS: There was a great deal of variability in the amount of occlusion that was prescribed for moderate and severe amblyopia. Sixty per cent of clinicians indicated that the maximum they would prescribe was in excess of the 6 h recommended by research. Atropine was rarely recommended as a first-line treatment, with occlusion generally being considered to be more effective. Despite recommendations regarding education as a means of reducing non-compliance, only 39% of clinicians always gave written information, although various other methods of enhancing compliance were used. A period of refractive adaptation was allowed by most clinicians but often far less than recommended. CONCLUSION: The uptake of recent research evidence into clinical practice is sporadic and incomplete with one-third of respondents indicating that following the studies, they had made no changes whatsoever to their practice. This is similar to other areas of medicine; the reasons are likely to be varied, and is an area that would benefit from greater attention.
File Format	HTM / HTML
ISSN	00071161
Issue Number	10
Volume Number	94
e-ISSN	14682079
Journal	British Journal of Ophthalmology
Language	English
Publisher	BMJ Publishing Group Ltd.
Publisher Date	2010-10-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Therapy Orthoptics Sensory Deprivation Humans Professional Practice Visual Acuity Therapeutic Use Journal Article Discipline Ophthalmology Patient Education As Topic Mydriatics Great Britain Amblyopia Adolescent Evidence-based Medicine Questionnaires Atropine Multicenter Study Patient Compliance Child
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Cellular and Molecular Neuroscience

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