{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:54:55Z","timestamp":1777881295888,"version":"3.51.4"},"reference-count":85,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmol Eye Dis"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>In recent years, media coverage has demonstrated instances in which families of children aged 7 and older, newly diagnosed with strabismic and\/or anisometropic amblyopia through community eyecare services, were told it was \u2018too late\u2019 for their child to effectively respond to conventional amblyopia treatment (occlusion or atropine penalisation). Formal guidance pertaining to binocular vision anomalies from eyecare professional bodies does not specifically make reference to a child\u2019s age, beyond stating the importance of early diagnosis and treatment of strabismus\/amblyopia. However, there have been many changes in the way we view the recovery period for amblyopia, and it is well demonstrated both within literature and clinical practice that conventional treatment can improve amblyopic eye visual acuity in children beyond the age of 7\u2009years. The occurrence of these media described cases within the community eyecare sphere would suggest it is worthwhile revisiting the literature on the subject of amblyopia treatment in older children (aged 7+\u2009years), to address misconceptions and place in the spotlight current considerations facing clinicians when treating newly diagnosed amblyopia within this age group. This perspective review provides an evidence-based update covering the various considerations associated with treatment of amblyopia in older children, along with recent amblyopia treatment advances that could have an impact on treatment prospects for this patient group. Considerations include the risks, benefits and efficacy of treating newly diagnosed amblyopia in older children, monitoring density of suppression to mitigate intractable diplopia risk, and recent findings regarding binocular treatments for amblyopia.<\/jats:p>","DOI":"10.1177\/2515841419857379","type":"journal-article","created":{"date-parts":[[2019,6,19]],"date-time":"2019-06-19T05:41:02Z","timestamp":1560922862000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["\u2018It\u2019s too late\u2019. Is it really? Considerations for amblyopia treatment in older children"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0714-6339","authenticated-orcid":false,"given":"Marianne E.F.","family":"Piano","sequence":"first","affiliation":[{"name":"School of Health Sciences, University of Surrey, Guildford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita J.","family":"Simmers","sequence":"additional","affiliation":[{"name":"Department of Vision Sciences, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,6,19]]},"reference":[{"key":"bibr1-2515841419857379","unstructured":"Mail Online. 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