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Childrens Eyecare
Patching for Amblyopia

Your child is being treated for a condition known as amblyopia, sometimes referred to a “lazy eye” in non-medical terms. Proper motivation and compliance with the patching schedule is of great importance to the success of the treatment. Several questions commonly asked by patents are:

WHICH TYPE OF PATCH SHOULD I USE?

For best effectiveness, I recommend “adhesive patches”. These fit securely on the face, preventing light from entering the eye and reduce your child’s ability to peep over or around the patch. Patches are available in junior size for infants and regular size for older children. A patch should not be used more than once.

If the child wears glasses and is old enough to understand not to “peep”, a cloth patch is available which fits on the glasses. It has side blinders to prevent looking around the side and is useful if the adhesive patch is irritating the skin.

I do not recommend the black eye patch that ties around the head as it may easily become displaced or the child may peep around the patch.

HOW IS THE PATCH USED?

The patch is applied onto the skin, and spectacles, if worn, placed over the patch.
A child should never be patched without glasses (if glasses have been prescribed) as your child’s vision needs to be properly focused with glasses for the patching to work.

If the skin is irritated by the adhesive on the patch, the brand of patch should be changed.

Patching is prescribed for a particular number of hours per day depending on your child’s condition. Initially start patching for 15-20 minutes and increase the time patched daily until you have reached the prescribed number of hours. If your child objects to patching avoid confrontation, discontinue your efforts to patch that day and suggest re-patching the next day with some reward.

The effectiveness of patching is improved if your child spends 30 minutes performing near activities i.e. reading, drawing, “Nintendo” etc while patching per day.

PROBLEMS:
Skin Irritation
Apply E45 cream to skin and leave patch off for 24 hours
Change brand of patch

Child will not allow patch: 

This is not an uncommon problem – again avoid confrontation and use a reward system occasionally an
alternative form of therapy (i.e. eye drops) can be used in children who will not allow patching.

FOLLOW UP:

Continue patching as prescribed until the next visit. Your child’s vision will be checked and a decision reached with regards future patching. It is common for children to patch up to age 8 or 9 depending on their particular condition.


To book an appointment or to enquire further please contact us on 01-210 3653, or through our contact form.
T: +353 1 210 3653, +353 1 244 0698
F: +353 1 283 6030
E:[email protected]
Suite 10, Blackrock Clinic, Blackrock, Co. Dublin.
Temple Grove House,Temple Rd,Blackrock, Dublin.
CRO No: 470658
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