Patching treatment

Patching is not a pleasant thing for a child so initially the child will be reluctant to undergo it It is our duty to make the child understand the necessity of the procedure so that he she will cooperate In a young child patching is done for shorter periods initially the duration is increased gradually to obtain better compliance Acceptance is good as soon as vision is increased in ambloypic eye Method of patching should be according to the interests of the child Patch should be stuck directly on the face over the eye If the child wears glasses the patch should be placed on the face not on the glasses Glasses can also be used as an occluder only in older children Many children try to take the patch off This problem usually disappears as the child grows accustomed to wearing the patch Older children can be encouraged to read and young children can be involved in playing interesting games during patching Precautions must be taken to prevent the child from peaking around the edge of the patch Patching schedules should be followed strictly Patching should not be stopped abruptly The programme should be done only by ophthalmologists.