Conventional patch treatment for amblyopia involves covering the stronger eye with an adhesive eye patch for a certain amount of time each day. By temporarily blocking the stronger eye’s vision, the brain is encouraged to use the weaker eye more, stimulating visual development and improving vision in the amblyopic eye.

The duration of patching varies depending on the severity of amblyopia and the individual’s age and response to treatment. In most cases, the eye care specialist will prescribe specific patching times, which will vary. Compliance with the prescribed patching schedule is crucial for successful outcomes.

Initially, some children may feel discomfort or irritation when wearing the eye patch, but most individuals adapt to it over time. Parents and caregivers can help by providing positive reinforcement and making the patching experience enjoyable, such as engaging in fun activities while wearing the patch.

The timeline for improvement varies from person to person. Some individuals may notice improvements in a matter of weeks, while others may require several months of consistent patching to see significant progress. Regular follow-up visits with the eye care specialist are essential to monitor progress and adjust the treatment plan as needed.

In many cases, patch treatment can significantly improve vision in the amblyopic eye, leading to a substantial reduction in visual acuity differences between the two eyes. However, complete reversal of amblyopia may not always be possible, especially if the condition is severe or diagnosed at a later age. The goal of patch treatment is to achieve the best possible vision in the amblyopic eye, promoting better binocular vision and depth perception.

Yes, there are alternative treatment options for amblyopia, depending on the patient’s age, severity of the condition, and other factors. Some alternatives include atropine eye drops, where the stronger eye’s vision is temporarily blurred, and vision therapy, which involves exercises to improve eye coordination and visual skills. Your eye care specialist will recommend the most suitable treatment approach based on your individual needs.

Successful patch treatment requires commitment and cooperation from both the patient and their caregivers. It is essential to strictly follow the prescribed patching schedule and attend all follow-up appointments. Encouraging the child to wear the patch consistently and providing positive reinforcement can help make the treatment experience more manageable and effective.

Patch treatment is generally safe when supervised by a qualified eye care professional. However, prolonged patching or improper use of the eye patch may cause skin irritation around the eye. It is essential to inform your eye care specialist if you notice any skin-related issues or if the child experiences discomfort while wearing the patch.

Be aware that because your child is wearing a patch, he/she has a reduced area of vision.  Therefore be extra vigilant with your child near roads and when playing.

If the patch is not fitted correctly your child they will find a way to peek around it. Make sure you use the right size for your child.

Sometimes children will develop an allergic skin reaction to the patch.  Should this occur, please contact the Orthoptic Department for an alternative type of patch.

Occasionally when the patch is removed, a child may notice double vision. If this occurs, stop further patching and contact your eye care professional immediately.

Rarely, patching can reduce the vision in the good eye.  Because of this it is important to wear the patch exactly as recommended by the Orthoptist and to attend all appointments.

Patch treatment can be effective for various types of amblyopia, including those caused by strabismus (misalignment of the eyes) and refractive errors (nearsightedness, farsightedness, or astigmatism). However, the effectiveness of patching may vary depending on the individual case. Your eye care specialist will determine the most suitable treatment approach based on the specific cause and severity of the amblyopia.

1. My new eyepatch by Dawn P Rush
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5. My Lazy Eye by Ayesha Haq
6. Princess Pretty Patch by Kerri Green
7. Apple Patty Patches by Danielle Crul

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7. Wallace DK, Lazar EL, Holmes JM, et al. A randomized trial of increasing patching for amblyopia. Ophthalmology. 2013;120(11):2270-2277. doi:10.1016/j.ophtha.2013.05.005

8. Wallace DK, Kraker RT, Beck RW, et al. A randomized trial of patching regimens for treatment of moderate amblyopia in children. Arch Ophthalmol. 2003;121(5):603-611. doi:10.1001/archopht.121.5.603