Scholars@Duke
Nathan Cheung

Nathan Cheung

Associate Professor of Ophthalmology
Ophthalmology

Selected Publications

Virtual reality field testing in children with normal eyes and glaucoma: comparison of game-based versus Humphrey visual field-equivalent algorithms.

Journal Article J AAPOS · December 2025 BACKGROUND: Virtual reality-based field (VRF) perimetry presents an alternative to standard automated perimetry, offering both game-based and Humphrey-equivalent algorithms. Comparative performance of these two algorithms is not well-documented. We evaluat ... Full text Link to item Cite

Optical correction of hyperopia in school-aged children: a scoping review protocol.

Journal Article BMJ Open · August 17, 2025 INTRODUCTION: Prescribing patterns for hyperopia in children vary widely among eye care providers worldwide. This scoping review aims to identify and map the current literature on optical correction and catalogue outcomes reported, particularly in the doma ... Full text Link to item Cite

Refractive Error Change and Overminus Lens Therapy for Childhood Intermittent Exotropia.

Journal Article JAMA Ophthalmol · May 1, 2024 IMPORTANCE: Increased myopic shift was found to be associated with 1 year of overminus spectacle treatment for children with intermittent exotropia (IXT). Persistence of myopic shift after discontinuing overminus spectacles is unknown. OBJECTIVE: To compar ... Full text Open Access Link to item Cite

Performance of VisuALL virtual reality visual field testing in healthy children.

Journal Article J AAPOS · February 2024 BACKGROUND: Virtual reality field testing may provide an alternative to standard automated perimetry. This study evaluates a virtual reality game-based automated perimetry in a healthy pediatric population. METHODS: A prospective series of pediatric patien ... Full text Link to item Cite

Eight-Year Outcomes of Bilateral Lateral Rectus Recessions versus Unilateral Recession-Resection in Childhood Basic-Type Intermittent Exotropia.

Conference Ophthalmology · January 2024 PURPOSE: To report 8-year outcomes from a randomized controlled trial (RCT) comparing bilateral lateral rectus muscle recession (BLRc) with unilateral recession-resection (R&R) for childhood intermittent exotropia (IXT). DESIGN: Eight-year follow-up of RCT ... Full text Link to item Cite

Repeated Low-level Red-light Therapy: The Next Wave in Myopia Management?

Journal Article Optom Vis Sci · December 1, 2023 Exposure to long-wavelength light has been proposed as a potential intervention to slow myopia progression in children. This article provides an evidence-based review of the safety and myopia control efficacy of red light and discusses the potential mechan ... Full text Open Access Link to item Cite

Refractive Accuracy and Visual Outcome by Self-Refraction Using Adjustable-Focus Spectacles in Young Children: A Randomized Clinical Trial.

Journal Article JAMA Ophthalmol · September 1, 2023 IMPORTANCE: Uncorrected refractive error is the most common cause of vision impairment in children. Most children 12 years or older can achieve visual acuity (VA) of 20/25 or better by self-refraction using adjustable-focus spectacles, but data on younger ... Full text Open Access Link to item Cite

Pediatric Ocular Surface Disease

Book · June 27, 2023 The aim of this book is to provide a practical and detailed understanding of ocular surface disease in the pediatric population, as many of these corneal conditions in children require unique therapeutic approaches and may have subtle ... ... Cite

The role of contact lenses in the management of ocular surface disease in children

Chapter · June 27, 2023 Contact lenses, including soft bandage contact lenses and scleral lenses, are typically an underutilized modality for the management of ocular surface disease in the pediatric population. This is frequently due to a perception of significant obstacles to i ... Full text Cite

Low- and Very Low-Dose Bevacizumab for Retinopathy of Prematurity: Reactivations, Additional Treatments, and 12-Month Outcomes.

Journal Article Ophthalmology · October 2022 PURPOSE: Low-dose and very low-dose intravitreal bevacizumab (IVB) have been reported to be successful in short-term treatment of type 1 retinopathy of prematurity (ROP), down to an initial dose of 0.004 mg. We now report 12-month outcomes for these infant ... Full text Link to item Cite

Rasch-calibrated Intermittent Exotropia Symptom Questionnaire for Children.

Journal Article Optom Vis Sci · June 1, 2022 SIGNIFICANCE: A rigorously designed and calibrated symptom questionnaire for childhood intermittent exotropia would be useful for clinical care and for research. PURPOSE: The aim of this study was to Rasch-calibrate and evaluate the previously developed Ch ... Full text Open Access Link to item Cite

A Randomized Trial of Binocular Dig Rush Game Treatment for Amblyopia in Children Aged 4 to 6 Years.

Journal Article Optom Vis Sci · March 1, 2022 SIGNIFICANCE: Binocular treatment for unilateral amblyopia is an emerging treatment that requires evaluation through a randomized clinical trial. PURPOSE: This study aimed to compare change in amblyopic-eye visual acuity (VA) in children aged 4 to 6 years ... Full text Link to item Cite

Amblyopia (Lazy Eye)

Chapter · April 12, 2021 Full text Cite

All about Your Eyes

Book · April 2021 "A concise, easy-to-understand reference book, the revised and updated second edition of the bestselling All about Your Eyes tells you what you need to know to care for your eyes, various eye diseases and treatments, and what to expect from ... ... Cite

Overminus Lens Therapy for Children 3 to 10 Years of Age With Intermittent Exotropia: A Randomized Clinical Trial.

Journal Article JAMA Ophthalmol · April 1, 2021 IMPORTANCE: This is the first large-scale randomized clinical trial evaluating the effectiveness and safety of overminus spectacle therapy for treatment of intermittent exotropia (IXT). OBJECTIVE: To evaluate the effectiveness of overminus spectacles to im ... Full text Link to item Cite

Refractive Error Correction with Self-Adjustable Spectacles in Young Children

Conference INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE · 2020 Cite

Assessment of Macular Microvasculature in Healthy Eyes of Infants and Children Using OCT Angiography.

Journal Article Ophthalmology · December 2019 PURPOSE: To assess macular vasculature in healthy infants and children using OCT angiography (OCTA). DESIGN: Prospective cross-sectional study. PARTICIPANTS: One hundred thirty-five normal maculae of 89 healthy infants and children (mean age, 8.5±5.3 years ... Full text Open Access Link to item Cite

Pediatric optometrists trained in a medical home—inside look at a training program and the Pediatric MD-OD working relationship

Journal Article Journal of American Association for Pediatric Ophthalmology and Strabismus · August 2019 Full text Open Access Cite

Handbook of pediatric retinal OCT and the eye-brain connection

Book · January 1, 2019 Optical Coherence Tomography (OCT) plays a vital role in pediatric retina diagnosis, often revealing unrecognized retinal disorders and connections to brain injury, disease, and delayed neurodevelopment. Handbook of Pediatric Retinal OCT and the Eye-Brain ... Full text Cite