ClinicalTrials.gg
RecruitingNCT06286410ARIHAUpdated May 9, 2024

Accommodation Response in Hypermetropic Anisometropia (ARIHA Study)

An interventional study of Bespoke glasses prescription worn during amblyopia treatment. in Anisometropic Amblyopia and Accommodation Disorder, sponsored by University of Sheffield. Recruiting at 1 site in United Kingdom. Open to participants aged 4 Years to 10 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-09.

Sponsored by University of Sheffield · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 11 months ago, but the record still lists the study as recruiting.
  • Started Apr 2024; still recruiting 2 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
22
Allocation
Non-randomized
Ages
4 Years to 10 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 11 studies in Amblyopia with a site in United Kingdom — 3 open to participants now, 3 under way, none of them phase 3. Amblyopia · United Kingdom.

Started
2024
with 1 other
No phase
6 of 11
2 open now
Registered
10th of 11
by date
Lead sponsor
1 of 11
University of Sheffield

Among the 11 studies in Amblyopia with a site in United Kingdom, this one is one of 2 that started in 2024, is one of 6 with no phase, and was the 10th registered.

Amblyopia

189 studies on the registry are indexed under Amblyopia; 41 are open to participants now.

Browse Amblyopia studies →

Open to participants now

3 of the 11 studies in Amblyopia with a site in United Kingdom are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 30 Amblyopia studies recruiting now, 4 (13%) set no upper age limit and 24 (80%) stop at 75 or younger; 25 take children under 18; 7 take healthy volunteers.

This study: 4 Years to 10 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies in Amblyopia with a site in United Kingdom, or all of them as a file.
02

Study summary

Anisometropic amblyopia is when one eye has a much stronger glasses prescription than the other, causing poor vision in one eye, even with glasses, because the brain favours the better-seeing eye.

With standard care treatment (glasses plus either patching or atropine drops given to the better seeing eye), 35% of children with anisometropic amblyopia do not have any significant visual improvements, and will have reduced vision in one eye for life. There is no consensus for the reasons why some children do not respond as well as others.

Recent research using the Plusoptix PowerRefractor (PR3), which quickly measures eye focusing (accommodation), suggested that in children with anisometropic amblyopia, the focusing of the amblyopic eye might influence treatment success. However, such measurements weren't previously common due to equipment limitations in clinics.

The investigators aim to use the non-invasive PR3 to assess accommodation in hypermetropic anisometropic amblyopia, at the University of Sheffield. This will be a two-phase study of children aged 4-10 years who have hypermetropic anisometropia. The investigators will recruit participants attending the Ophthalmology Department at Sheffield Children's NHS Foundation Trust (SCH). The investigators will take repeated measurements of accommodation at points during standard care treatment (phase 1) and conduct a pilot intervention study (phase 2) to determine whether adjusting glasses prescriptions based on accommodation responses with amblyopia treatment can improve vision in the weaker eye. The goal is to gather evidence to inform a future larger multicentre RCT to improve the visual outcomes for anisometropic amblyopic children in the future.

Read the detailed description

This is a two-phase study of children aged 4-10 years who have hypermetropic anisometropia:

  1. Phase 1 is a cohort observational study. It will involve repeated measurements of accommodation response (using the PR3) of hypermetropic anisometropic children during their standard care treatment at SCH. PR3 measurements (all non-invasive) will be taken at various stages of their treatment to track if accommodation responses change over time.
  2. Phase 2 is a pilot intervention study. It will recruit hypermetropic anisometropic children who have finished their standard care treatment at SCH but have not achieved equal (or nearly equal) vision for initial screening. Those who are found to have asymmetrical accommodation responses, and also have residual amblyopia (unequal vision in the two eyes) will be invited to the intervention study. Bespoke glasses will be issued, based on accommodation response, and children will restart occlusion (patching) for 12 weeks while wearing the bespoke glasses. This is to assess whether a glasses adaptation based on accommodation response will help to further improve vision in their amblyopic eye.
03

Conditions studied

  • Anisometropic Amblyopia
  • Accommodation Disorder

Keywords

  • Anisometropia
  • Amblyopia
  • Anisometropic Amblyopia
  • Accommodation
  • Plusoptix PowerRefractor 3
  • Anti-accommodation
  • Anisometropic accommodation
04

Who can participate

Ages eligible
4 Years to 10 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Phase 1

  • 4-10 years (at recruitment)
  • Have hypermetropic anisometropia with ≥1.00D of difference (in spherical equivalent)
  • Are currently undergoing treatment for hypermetropic anisometropia (including refractive adaptation and/or occlusion treatment - patching or atropine)
  • Visual acuity in non-amblyopic eye ≤0.200 logMAR
  • Any level of VA in amblyopic eye (worse than non-amblyopic eye)
  • No manifest strabismus
  • Accept microT with/without identity
  • No other eye conditions as cause of amblyopia (e.g. stimulus deprivation amblyopia/strabismic amblyopia)
  • No significant health conditions that would impact vision or accommodation response (e.g. Down's Syndrome/Cerebral Palsy)
  • from parent / guardian and assent from child (over 5 years)

Phase 2

  • 4-10 years (at recruitment)
  • Hypermetropic anisometropic amblyopes ≥1.00D of difference (in spherical equivalent)
  • Finished standard amblyopia occlusion treatment (including patching and/or atropine)
  • Asymmetric accommodation responses (Anti-A and Aniso-A) following preliminary assessment
  • VA in non-amblyopic eye ≤0.200 logMAR
  • Residual amblyopia (defined as interocular difference of ≥0.2 log units)
  • No manifest strabismus
  • Accept microT with/without identity
  • No other eye conditions as cause of amblyopia (e.g. stimulus deprivation amblyopia/strabismic amblyopia)
  • No significant health conditions that would impact vision or accommodation response (e.g. Down's Syndrome/Cerebral Palsy)
  • Informed consent from parent / guardian and assent from child (over 5 years)

Exclusion criteria

Exclusion Criteria:

Phase 1 and Phase 2

  • Not within the age range 4-10 years at time of recruitment
  • Has myopic anisometropia (either eye)
  • \<1.00D of hypermetropic anisometropia
  • Vision in non-amblyopic eye worse than >0.200 logMAR
  • Has a manifest strabismus
  • Has amblyopia caused by an eye condition (e.g. stimulus deprivation amblyopia/strabismic amblyopia)
  • Has a significant health condition that would impact vision or accommodation response (e.g. Down's Syndrome/Cerebral Palsy)
  • Parent /guardian unable to give
  • Parent/guardian unable to communicate in English sufficiently to give informed consent
  • (Phase 2 only) does not have residual amblyopia (has equal vision in both eyes)
  • (Phase 2 only) has symmetrical accommodation on the PR3 tests
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
22 participants (estimated)

Study arms

  • Experimental
    Aniso-A

    Aniso-A Those found to have anisometropic accommodation response do not focus effectively in their amblyopic eye when looking at the 0.33m (near) targets. Aniso-A response will be determined by their interocular difference in measurements at near (0.33m). They will be given a prescription for D-28 segment bifocal glasses. The distance section of the glasses will match their current glasses, and the bifocal add will be equivalent to the mean amount they are under accommodating by at 0.33m in their amblyopic eye during the cue conditions with glasses. Bifocals will only be worn during patching. They will wear their own current glasses for all other times. This will be made very clear to parents/caregivers, and written instructions will be given. The participant will act as their own controls: visual acuity at recruitment will be used to compare to visual acuity during and after the intervention.

    Other: Bespoke glasses prescription worn during amblyopia treatment.

  • Experimental
    Anti-A

    Anti-A Those found to have anti-accommodation over-accommodate in their amblyopic eye for the 2m (distance) target. Aniso-A response will be determined by their interocular difference in measurement in the distance (2m). They will be given a prescription for single vision distance glasses. The distance prescription in their non-amblyopic eye will be the same as their current glasses. The distance prescription in their amblyopic eye will be reduced by the same amount they are over-accommodating by during the cue conditions with glasses. This amended distance prescription will only be worn during patching. They will wear their own current glasses for all other times. This will be made very clear to parents/caregivers, and written instructions will be given. The participant will act as their own controls: visual acuity at recruitment will be used to compare to visual acuity during and after the intervention.

    Other: Bespoke glasses prescription worn during amblyopia treatment.

Interventions

  • OtherBespoke glasses prescription worn during amblyopia treatment.

    The investigators aim to use the information they gather about a participant's accommodation response to be used in a bespoke glasses prescription that will be worn during amblyopia treatment. This is to try and improve vision in those with residual amblyopia following standard amblyopia treatment.

06

What researchers measure

Primary outcomes

  1. Change in visual acuity

    The change found in level of visual acuity pre- and post- pilot intervention in the amblyopic eye (phase 2).

    Time frame: 12 weeks

Secondary outcomes

  1. Change in PR3 accommodation measurements

    The changes in PR3 accommodation measurements during standard care treatment in hypermetropic anisometropic amblyopia and the amount of participants found to have asymmetrical accommodation and residual amblyopia (both Phase 1).

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
  • Division of Ophthalmology & Orthoptics, School of Allied Health Professions, Nursing and Midwifery, The University of Sheffield
    Sheffield, South Yorkshire S10 2RX, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2024 (actual). Primary completion is estimated for Dec 2024, 8 months after the start.

Of 58 non-industry interventional studies with no phase under Amblyopia, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 72. This study's planned 8 months is below that.

Counting every sponsor, half of 71 studies reached it within 33 months; a quarter within 17 and three quarters within 47.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 22, 2024
First posted
Feb 29, 2024
StartActual
Apr 11, 2024
Primary completionEst.
Dec 2024
CompletionEst.
Dec 2024
Last update
May 9, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 9, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06286410
Lead sponsor
University of Sheffield
Collaborators
Sheffield Children's NHS Foundation Trust
Responsible party
Sponsor
First posted
Feb 29, 2024
Start date
Apr 11, 2024
Primary completion
Dec 2024 (estimated)
Completion
Dec 2024 (estimated)
Last update
May 9, 2024

Study contacts

Holly Geraghty
Contact
hgeraghty@sheffield.ac.uk
07757277466
Gemma Arblaster
Contact
g.arblaster@sheffield.ac.uk
0114 215 9005
Holly Geraghty
principal investigator · University of Sheffield

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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