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AmblyopiaSPECTRANCT05394987

Optical Correction and Visual Functions of Adults With Amblyopia

A study testing Spectacles in people with Amblyopia, run by Centre for Eye and Vision Research at 2 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Amblyopia is a developmental anomaly resulting from abnormal visual experiences in early life. Amblyopia causes reduced visual acuity in the absence of a pathology. Adult sensory systems are believed to be structurally invariant beyond early, critical periods of development. Read more about this study

Who is it for?
Ages 18 to 39 yearsHealthy volunteers can take part
Conditions the study is for
Amblyopia
What is being tested?
Spectacles
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
2 sitesin 2 countries
Study dates
13 Jun 2022to 1 Jun 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 39 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 18-39 (inclusive) years of age
  • Anisometropic amblyopia (difference of ≥0.50D spherical equivalent or ≥1.50D astigmatism between eyes) or mixed mechanism amblyopia (strabismus and anisometropia)
  • Best corrected visual acuity (BCVA) in the amblyopic eye of 0.3 logMAR to 1.0 logMAR (inclusive)
  • BCVA in the non-amblyopic eye of 0.1 logMAR or better, and an interocular VA difference of 2 logMAR lines or more
  • Difference of 1.00D or more between current refractive correction and study prescription
  • Good general health

Who cannot join

  • Other pathological ocular anomalies known to cause reduced visual acuity
  • Presbyopia (based on amplitude of accommodation)
  • Inability to tolerate prescribed refractive correction in spectacles (e.g., due to aniseikonia)
  • Contraindication to cycloplegic eye drops
  • Currently under amblyopia treatment/therapy
  • Inability to comprehend test instructions and/or provide consent
Show all 11Show fewer
  • Eccentric fixation
  • >-6.00DS of myopia in either eye with spectacles
  • Bilateral amblyopia
  • Presence of amblyopia that is not due to strabismus and/or anisometropia
  • Presence of (current or previous) psychiatric, visual, or neurological disorders

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

Canada1 site
  • University of Waterloo

    Waterloo, Ontario, N2L 3G1

Other trials in Canada

Hong Kong1 site
  • Centre for Eye and Vision Research Limited

    Hong Kong, Guangdong, 00000

Other trials in Hong Kong

About this study

Official title: Spectacle Correction for the Treatment of Amblyopia

Amblyopia is a developmental anomaly resulting from abnormal visual experiences in early life. Amblyopia causes reduced visual acuity in the absence of a pathology. Adult sensory systems are believed to be structurally invariant beyond early, critical periods of development. However, recent evidence suggest that visual functions in adults with amblyopia can be improved with optical correction alone. This study aims to investigate whether improvements in best corrected visual acuity and other visual functions can result following appropriate optical correction in adults with amblyopia. Functional measures relating to vision, binocular vision, and eye movements will be used to assess the efficacy of refractive correction for improving vision. This study will help us better understand the improvements in visual functions following optical correction, as well as the mechanisms underlying neuroplasticity in adults with amblyopia.

Conditions
Amblyopia
Being tested
Spectacles
Keywords
Amblyopia, Binocular vision, Suppression, Plasticity, Optical correction
Medical subject headings
Amblyopia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SpectaclesDevice

    Prescription of refractive error correction in spectacles. Refractive error to be determined as part of standard optometric eye exam (performed by registered optometrist).

    Guidelines for optical correction for the prescription of the study spectacles (based on Pediatric Eye Disease Investigator Group [PEDIG] amblyopia clinical trial protocols): Hypermetropia: not undercorrected by >+1.50D spherical equivalent and the reduction in plus sphere must be identical between the two eyes. Anisometropia: full correction of the anisometropic difference. Astigmatism: cylinder power in each eye should be within ≤±0.50D of fully correcting the astigmatism for each eye. If cylinder power is ≥1.00D, the prescribed axis in both eyes should be within ≤±6 deg of the cycloplegic refraction axis.

    Appropriate refractive error correction will be prescribed. Participants will be instructed to wear the optical correction full-time (i.e., >50% of waking hours) for the duration of the study.

Study groups in NCT05394987
Study groupRoleWhat they receive
Optical correctionExperimentalPrescription of spectacles for full-time wear to correct refractive error
Receives: Device: Spectacles

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Best corrected visual acuity of the amblyopic eye pre-intervention

    The size of the smallest line of letters read accurately on an ETDRS chart.

    Measured: Approx. 5 mins, baseline (day 1 of spectacle wear)

  2. Best corrected visual acuity of the amblyopic eye post-intervention

    The size of the smallest line of letters read accurately on an ETDRS chart.

    Measured: Approx. 5 mins, on completion of study (week 24)

Secondary outcomes (36)
  1. Best corrected visual acuity of the amblyopic eye during intervention

    The size of the smallest line of letters read accurately on an ETDRS chart.

    Measured: Approx. 5 mins, every 4 weeks from start of intervention

  2. Fellow eye distance visual acuity pre-intervention

    The size of the smallest line of letters read accurately on an ETDRS chart.

    Measured: Approx. 5 mins, baseline (day 1 of spectacle wear)

  3. Fellow eye distance visual acuity post-intervention

    The size of the smallest line of letters read accurately on an ETDRS chart.

    Measured: Approx. 5 mins, on completion of study (week 24)

  4. Fellow eye distance visual acuity during-intervention

    The size of the smallest line of letters read accurately on an ETDRS chart.

    Measured: Approx. 5 mins, every 4 weeks from start of intervention

  5. Binocular distance visual acuity pre-intervention

    The size of the smallest line of letters read accurately on an ETDRS chart.

    Measured: Approx. 5 mins, baseline (day 1 of spectacle wear)

  6. Binocular distance visual acuity post-intervention

    The size of the smallest line of letters read accurately on an ETDRS chart.

    Measured: Approx. 5 mins, on completion of study (week 24)

  7. Binocular distance visual acuity during intervention

    The size of the smallest line of letters read accurately on an ETDRS chart.

    Measured: Approx. 5 mins, every 4 weeks from start of intervention

  8. Near visual acuity of amblyopic eye pre-intervention

    The size of the smallest line of letters read accurately on a near ETDRS chart.

    Measured: Approx. 5 mins, baseline (day 1 of spectacle wear)

  9. Near visual acuity of amblyopic eye post-intervention

    The size of the smallest line of letters read accurately on a near ETDRS chart.

    Measured: Approx. 5 mins, on completion of study (week 24)

  10. Near visual acuity of amblyopic eye during intervention

    The size of the smallest line of letters read accurately on a near ETDRS chart.

    Measured: Approx. 5 mins,every 4 weeks from start of intervention

  11. Near visual acuity of fellow eye pre-intervention

    The size of the smallest line of letters read accurately on a near ETDRS chart.

    Measured: Approx. 5 mins, baseline (day 1 of spectacle wear)

  12. Near visual acuity of fellow eye post-intervention

    The size of the smallest line of letters read accurately on a near ETDRS chart.

    Measured: Approx. 5 mins, on completion of study (week 24)

  13. Near visual acuity of fellow eye during intervention

    The size of the smallest line of letters read accurately on a near ETDRS chart.

    Measured: Approx. 5 mins, every 4 weeks from start of intervention

  14. Near binocular visual acuity pre-intervention

    The size of the smallest line of letters read accurately on a near ETDRS chart.

    Measured: Approx. 5 mins, baseline (day 1 of spectacle wear)

  15. Near binocular visual acuity post-intervention

    The size of the smallest line of letters read accurately on a near ETDRS chart.

    Measured: Approx. 5 mins, on completion of study (week 24)

  16. Near binocular visual acuity during intervention

    The size of the smallest line of letters read accurately on a near ETDRS chart.

    Measured: Approx. 5 mins, every 4 weeks from start of intervention

  17. Amblyopic eye contrast sensitivity pre-intervention

    Computer-based measurement of contrast sensitivity

    Measured: Approx. 10 mins, baseline (day 1 of spectacle wear)

  18. Amblyopic eye contrast sensitivity post-intervention

    Computer-based measurement of contrast sensitivity

    Measured: Approx. 10 mins, on completion of study (week 24)

  19. Amblyopic eye contrast sensitivity during intervention

    Computer-based measurement of contrast sensitivity

    Measured: Approx. 10 mins, every 4 weeks from start of intervention

  20. Stereopsis pre-intervention

    Smallest disparity on the Randot preschool test reported accurately.

    Measured: Approx. 5 mins, baseline (day 1 of spectacle wear)

  21. Stereopsis post-intervention

    Smallest disparity on the Randot preschool test reported accurately.

    Measured: Approx. 5 mins, on completion of study (week 24)

  22. Stereopsis during intervention

    Smallest disparity on the Randot preschool test reported accurately.

    Measured: Approx. 5 mins, every 4 weeks from start of intervention

  23. Angle of strabismus pre-intervention

    Prismatic power required to neutralise the angle of deviation on alternating prism cover test.

    Measured: Approx. 5 mins,baseline (day 1 of spectacle wear)

  24. Angle of strabismus post-intervention

    Prismatic power required to neutralise the angle of deviation on alternating prism cover test.

    Measured: Approx. 5 mins, on completion of study (week 24)

  25. Angle of strabismus during intervention

    Prismatic power required to neutralise the angle of deviation on alternating prism cover test.

    Measured: Approx. 5 mins, every 4 weeks from start of intervention

  26. Amblyopic eye fixation stability pre-intervention

    Eye position recorded with high-speed eye tracker during fixation as quantified by bivariate contour ellipse area (BCEA).

    Measured: Approx. 5 mins, baseline (day 1 of spectacle wear)

  27. Amblyopic eye fixation stability post-intervention

    Eye position recorded with high-speed eye tracker during fixation as quantified by bivariate contour ellipse area (BCEA).

    Measured: Approx. 5 mins, on completion of study (week 24)

  28. Amblyopic eye fixation stability during intervention

    Eye position recorded with high-speed eye tracker during fixation as quantified by bivariate contour ellipse area (BCEA).

    Measured: Approx. 5 mins, every 4 weeks from start of intervention

  29. Fellow (non-amblyopic) eye fixation stability pre-intervention

    Eye position recorded with high-speed eye tracker during fixation as quantified by bivariate contour ellipse area (BCEA).

    Measured: Approx. 5 mins, baseline (day 1 of spectacle wear)

  30. Fellow (non-amblyopic) eye fixation stability post-intervention

    Eye position recorded with high-speed eye tracker during fixation as quantified by bivariate contour ellipse area (BCEA).

    Measured: Approx. 5 mins, on completion of study (week 24)

  31. Fellow (non-amblyopic) eye fixation stability during intervention

    Eye position recorded with high-speed eye tracker during fixation as quantified by bivariate contour ellipse area (BCEA).

    Measured: Approx. 5 mins, every 4 weeks from start of intervention

  32. Interocular suppression pre-intervention

    Computer-based measurement of interocular suppression.

    Measured: Approx. 10 mins, baseline (day 1 of spectacle wear)

  33. Interocular suppression post-intervention

    Computer-based measurement of interocular suppression.

    Measured: Approx. 10 mins, on completion of study (week 24)

  34. Interocular suppression during intervention

    Computer-based measurement of interocular suppression.

    Measured: Approx. 10 mins, every 4 weeks from start of intervention

  35. Quality of life pre-intervention

    Questionnaire scores for:

    1. Amblyopia and Strabismus Questionnaire
    2. World Health Organization Quality of Life-BREF

    Measured: Approx.15-20 mins, baseline (day 1 of spectacle wear)

  36. Quality of life post-intervention

    Questionnaire scores for:

    1. Amblyopia and Strabismus Questionnaire
    2. World Health Organization Quality of Life-BREF

    Measured: Approx. 15-20 mins, on completion of study (week 24)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 May 2022
  2. Study start13 Jun 2022
  3. Primary completion1 Jun 2026
  4. Study completion1 Jun 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Within-subject, pre-post interventional study, measuring the effect of optical correction on visual function.
Masking
None (open label)
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05394987
Sponsor's protocol ID
SPECTRA
Acronym
SPECTRA
Status last verified
Oct 2026
First submitted
19 May 2022
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Anonymized data will be shared on request

Publications

  • Tan KWS, Park ASY, Cheung BWS, Wong GHT, Thompson B; SPECTRA study team. SPEctacle Correction for the TReatment of Amblyopia (SPECTRA): study protocol for a prospective non-randomised interventional trial in adults with anisometropic/mixed mechanism amblyopia. BMJ Open. 2024 Jul 1;14(6):e080151. doi: 10.1136/bmjopen-2023-080151.

    PubMed 38950991

Questions about this trial

What is this clinical trial studying?

A study testing Spectacles in people with Amblyopia, run by Centre for Eye and Vision Research at 2 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Canada, Hong Kong. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Best corrected visual acuity of the amblyopic eye pre-intervention (time frame: Approx. 5 mins, baseline (day 1 of spectacle wear)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05394987, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2026.

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