Sir,

We read with interest your articles by Searle et al1 and Gregson,2 with respect to amblyopia treatment and compliance. We appreciate that there is a need to improve compliance and ‘self-efficacy’ with respect to patching. In Searle et al's study population, the mean visual acuity at first assessment was 6/24, which he had alluded to as being severe, substantial visual loss. Further, preschool children with amblyopia have been shown to be at risk for further deterioration.3 For these reasons, we feel it is important to detect amblyopia early.

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