What Is Patching Treatment? Dr. Rupa, pediatric ophthalmologist, explains
ฝัง
- เผยแพร่เมื่อ 8 ก.ค. 2024
- Why do kids need to wear a patch? Is a lazy eye the same thing as when an eye crosses in or out? And, what eye exercises can help improve the vision? Board certified, ophthalmologist, Dr. Rupa Wong, answers these questions about amblyopia, the different types and the oldest age you can use patching treatment to improve the vision for "lazy eye".
Find me:
Instagram: drrupawong
Website: www.drrupawong.com
Hawaii Patients: www.honolulueyeclinic.com
TikTok: drrupawong
Facebook: rupawongmd
For Collaborations please email me: hello@drrupawong.com
MEDICAL ADVICE DISCLAIMER: All content in this video and description including: information, opinions, content, references and links is for informational purposes only. The Author does not provide any medical advice on the Site. Accessing, viewing, reading or otherwise using this content does NOT create a physician-patient relationship between you and it’s author. Providing personal or medical information to the Principal author does not create a physician-patient relationship between you and the Principal author or authors. Nothing contained in this video or it’s description is intended to establish a physician-patient relationship, to replace the services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately-credentialed health care worker in your community in all matters relating to your health.
Not me over here switching which eye I use so much that I can barely recognize which one is lazy anymore 💀
Yeah same
Hey I'm new to this eye stuff. My right eye does a lot of work while my left eye doesn't. Will closing my right eye help my left eye work harder even when I'm not closing my right eye
@@isaiahjackson4010 that is what patching is for. It is put on your stronger eye so that the weak eye is forced to work harder.
@@isaiahjackson4010yes your left eye needs to see the world while your right eye is patched because your left eye has to see more of the places because it has to become stronger
Same
I needed this when I was a child.
Can you dirve car well?
I don't drive
@@nguyenhoang4144 I needed those patches as a child for many years and it didn't help at all. I suffered a lot with it. I can see with one eye only shapes and colours. And I do drive a car since 15 years , works perfectly fine. I just have a little harder time with parking.
Thank's for this great video. I'm an Italian orthoptist and I treat lazy eye too. Good Job!
Thank you! I am glad this helped.
hi Dr Rupa, thanks a lot for the valuable info
Lovely video. Thank you! For my granddaughter. 8 yrs old.
Glad you enjoyed it!
Brilliant.
Thank you so much. I really appreciate it!
New subscriber here! I found your channel and have been watching and learning so much from your videos!
Would you be able to do a video on ptosis?
I had a frontalis sling procedure due to my congenital ptosis and would love to know more information about it. Thank you Dr. Rupa Wong!
Thank you for your suggestion, Mia! I will take note of it. Thank you for subscribing! I am glad you're here.
hello! i have strabismus exotropia and my vision is normal when it drifts.i can control my eyes and make it straight but its blurry.
This was informative. Could you also make a video about ‘lazy eye’ being caused by eyelid droop(ptosis?) in adults? I’m an adult but my doctor still suggested eye-patch as a bare minimum since the numbers between both eyes have always been way off. I wonder if it’s going to help much…at the very least it might provide temporary relief to the other eye I guess.
I am making note of your suggestion. Thank you! Stick around for the upcoming video.
Thank you Dr. Rupa, for the informative video! I wore a patch when I was a kid. I have a question. Can you do a video on the effects of retinopathy of prematurity in adults? I asked my optometrist (who's attached to the opthalmology department at a major medical school) and he said that that's a question for a pediatric ophthalmologist. Given that you see both kids and adults, can you provide some insight? I'm having issues that he wasn't really able to explain, and I'm wondering if my prior ROP history could have anything to do with it.
So can I still use the patch method if I am 18 years old?
And what about the pencil exercise?
I am 70 and had left eye amblyopia since childhood. Strabysmus surgery helped for only a few years. Can a patch help? How long will it take to work?
I’m 28 and had a Scleral Buckle installed after a retinal detachment.. Now I suffer from Macular Pucker and am sometimes crosseyed. It varies from day to day depending on the membrane and how it effects/distorts my vision. Some days are fine. Some are awful.
Do you think patching would help any at all? Or is the buckle limiting muscle movement too much for it to actually benefit me? I know I’ll likely have to have another surgery and have the buckle removed..
Super thank you!! Both of my daughters have lazy eye. Wearing eye patch for 30 min/day. My other daughter is wearing now eyeglasses
You are so welcome! I'm so glad to help. Thank you for being here!
If both eye are squint... then how doing patching or timing
how long patch treatment need for left eye strabismus for 6 years old kid.
Hi! I’m 21 and had my first strabismus surgery when I was two, both of my eyes were crossed inward. I started noticing in maybe July of 2022 that my left eye was wandering outwards. It’s just gotten worse over time and I see the optical surgeon on the 15th of February. Do you think I’ll 100% need to have surgery again since it’s a recurrence from childhood or could patching work? And do you think I would only need the surgery on my left eye or both even though the right is fine as of now? I would love the feedback! Thank you!!
What about a mild droopy eyelid on an adult?
What if u have one eye that wonders off but the stronger eye starting to have blurry vision and the vision gets worse in the none wondering off eye? ( 7 year old)
Hi Doc.Rupa Wong, I’m from the Philippines , my daughter has alternate esotropia, I want to as if the eye patching is advisable or recommendable ?
My baby had to have cataract surgery when he was 13 weeks old and now has to wear a patch on his good eye for 6-8 hours a day. He is currently 5 months old and rips the patch off constantly. Any tips on keeping on or patches that stay on better?
My 8 yrs old son have lazy eye what is the maximum hours can be use eye patch to exercised my son lazy eye.
Very informative, thanks a lot❤.I noticed i developed Extropia without vision decay about 3 years ago. I wonder if there's any way to reverse this condition.🙏
My daughter is 4 year old and both eye are squint then how i treat patching...her glasses number is -2.75 and -2.25
Thank you for the video, I had problems with it as a boy and now in my mid 30s it's getting worse. 1 specialist says surgery may work, another says it will cause more harm. Should I patch for work and reading? That's what I think, especially as my strong eye is starting to get weaker, and I'm starting to worry 😥
How long do i wear it
Dr. Rupa, I appreciate you making this video but some of the information is incorrect. In particular, the "critical period" is no longer medically accepted dogma, though there is, of course, a period of time of maximal neurogenesis, but it continues on still throughout adulthood and can be restimulated via dopaminergic agents. Additionally, patching has been shown to be effective in adults, even those with severe amblyopia (Khan 2015 "Is There a Critical Period for Amblyopia Therapy? Results of a Study on Older Anisometropic Amblyopes") Thanks
I have done my strabismus surgery of alternative exotropia squint
However there is residual exotropia squint specially when i am reading or seeing far object ,,, should i use patch or go for resurgery
My 1st surgery is done 1 month ago ,, kindly
How long should we patch daily and for how many weeks I have to follow this procedure.
So Doctor Rupa what I understood for my 4-year-old is I need to put patches first then the eye muscle surgery will be done. Is that correct
I had normal eyes after suffering from glaucoma both eye were affected but one dropped more hence to see i used glasses which corrected only one eye but the other could do nothing for that..but now i am using 1 at age 20 what should be done dr?
am 17 . I used to use eye patch. For almost 2 years when I sit down to study or try to concentrate on a task then the eye ball of my eye that i see less move completely to one corner and my vision become blurry . I remember last year in board exam I was writing without seeing anything with teary eye. No one understands my condition.may be I can't explain it properly to them. What should I do ?. I can't even study properly . Even now I am typing it almost without seeing
is patching really helpful for lazy eye 👀
How much u can see
Apakah mata kana saya akan sembuh ya sudah ditambal
@@ubaidali2811it can be. Usually done with children. It forces to weaker eye to work more. Didn’t really work for me.
@@amythornton1984how long have you been with the patching process and what was the daily time limit to patch your working eye ??
My doctor recommended me this but I'm 21 so should I really do this I have a lazy eye and also my right eye has a blur vision
What if we r already 18 and wearing eye path
Thank you for the informative video. I only wear contact lens in my right eye and I also have ptosis on the right eyelid. My left eye has perfect vision. I suspect I have refractive amblyopia based on your video. My ptosis fluctuates from mild to moderate and I'm already considering eyelid surgery. I'm wondering if my lazy eye is the cause of my ptosis and vice versa. Does patching work for adult or is it too late for me?
Mam my right eye is 6/9 and my age is 16 years can i correct it
Yes you need to let your parents make a eye appointment for eye exam and to give you eye glasses
I think I have amblyopia (my right eye is terrible and near sided and my left eye is far sided and pretty good), I wore eyepatches as a kid but I guess not enough. When I zone out my right eye often dozes off. But now I’m 18, is there any point or wearing eye patches now?
I always had 20/20 vision my whole life but also had my left eye wonder off at times. But it wasn’t that bad honestly just sometimes randomly it would happen. Recently I had Bells Palsy and my face gotten better but that left eye has gotten worse! I can feel how weak it’s gotten. Should I wear a patch to make it stronger??
Hiya, my son is 7 weeks old and have noticed that his eye wonders
I don't know my case cause I have better vision in my lazy eye it is going upwards and looks smaller than the other it is my left eye ...
M 26 have amblyopia in right eye what shoud i do??????
Am 22 and one of my eye is not working.
Why can I control my squint???
Like I know when I am squinting, but I can easily force the squinting eye to not squint.....but it causes blurryness and headache 🥲🥲🥲
Is there any way to get it fixed,. am scared thinking about surgery 🫠🫠🫠
hi, I have an 18 months old little son who has been diagnosed with amblyopia and strabism when he was 7 months old. And it has been nearly 11 months since we put a patch on his eye for 2 hours every day and we take him to park on his carriage to make it easy for him to have a patch. I have been wondering recently that when he sits and watch tv it works better for him than taking him to park, because he concentrates more and tries to use the lazy eye while having patch on the other eye. i would like to know is it really helpful for him to watch tv while having a patch?
Can you please let me know whether it's cured now or still the same ??
I had to wear a patch as a child from ages 2-6 years of age but back then it was the ones that went over your head.
I know what you are talking about, Sarah! I hope the patch helped you.
@@DrRupaWong it did Dr Wong , I still have a little bit of strabismus and amblyopia with glasses now but much better then when I was younger
@@fairwind479472 Good!
hey, im 23 and my right eye drifts to the right when im not focusing on an object im seeing. if use a patch will that affect my good eye. other than patching for more than 6 hours.
also if i take the patch off and had it on for under 2 hours would that affect my good eye
Patching done correctly should not affect the vision of your good eye. The purpose is to make your weak eye work harder to focus more. However I am not a doctor so I would suggest you speak to professional.
hello mam... i am having lazy eye... can you help me out with vision thearapy
Here is a video I have on exercises and vision therapy. I hope this helps: th-cam.com/video/Hw4WzcnWptw/w-d-xo.html
It is difficult, I am 40 Years old and recently started getting a bit of a lazy eye, and the cause of that is when I read I often find my self closing my left eye. I had to start forcing my self to use my left eye a lot more, I see fine out of it, however, things are a little further away, but just a little. so I think it is from years of reading at night and closing my left eye that caused it. I am trying the patch as well as eye exercises to see if that helps. and I have noticed some improvment.
That sounds super difficult! So sorry you're dealing with that. I hope the patch and exercises continue to help.
@@DrRupaWong Thank You, I hope so, however, I am going in to get a complete checkup just to make sure, as I am getting older and need to see if anything else is going on. Thank You for what you do, and the information you provide to us all..
I’m 23 I turn 24 in July is it too late for me ? Or can I get my vision better don’t wanna have blurry vision anymore and I definitely don’t want to lose the light in my eye because the best way I can explain it is I can still see out of my bad eye but it’s not as clear and perfect as my other eye I can’t read or see anything small with my left eye but I would like to improve my left eye so it’s just as good if not close to my right eye
You can but it depends if you have lazy eye or not.
If you do, it cannot be corrected as it is a lifelong condition.
I am from Pakistan and my daughter is have problem amblyopia her age is now 14 years doc recommend patch as you say on healthy eye her other eye vision is week I am worried for her eyesight kindly tell me what exercises can help her to improve her eyesight
Hello mam my daughter also same pblm laze eye.. Doctor tells that do patching. Am asking a doubt that doing patching my daughter helps improvement in lazy eye or not🙏 plz reply
Do patch treatment help in 17 years old children
Is there any possibility for an eye with good vision become lazy eye than the eye with bad visiom
I am going to take note of this question and look into creating a video on what causes a lazy eye. Thank you for your question! Stick around for the answer.
@@DrRupaWong thanks ☺️
im 31 yrsold already and i have ablyopia till now is it work for adult if im gonna do patching, i diagnosed last 2012 for cataract in my left eye still cant see 😭😭
I am so sorry you have had that experience, Francis! I hope that you and your ophthalmologist can find another treatment plan that will help you.
Hello sis. Please can I use it on short sightedness for my kids
Not necessarily; that’s different to a lazy eye. Both can be corrected with glasses though.
how many days a week should i patch my son eye if he has the first type of lazy eye that you talked about?
daily maybe
@@afshin_a8daily, how many hours in a day, can you please advise.
So I wonder if it could work on adults that developed a lazy eye?
Cuz 3 years ago I never had a lazy them I got in a bad accident and that's when I started too see doubles of everything without my glasses
Thats not lazy eye, thats trauma
@@luckydevil1601 maybe🤷
How do you get kiddos to actually wear a patch? My 8 yo sister doesn't want to, but she needs to.
Great question. I will work on a video about this. Make sure you are subscribed and click the bell so you will see when I post it! :)
Thank you so much @DrRupaWong I really appreciate it.
Are slip over the lens patches effective like normal patches?
Yes they can be.
So I recently found out that I have a lazy eye, I always knew my right eye's vision is much more weak but I never knew it was a lazy eye so I guess what I'm asking is could I wear a patch at age 20 and could it benefit me or just make it worse
Patching is typically worn during childhood, so it wouldn’t be effective for an adult. You will need to see a doctor and they will give you glasses, contact lenses or eye drops.
It would force your weaker eye to work harder but it might be too late for you to do patching now. It’s worth asking all the same.
Hello doctor Rupa.Do i have to bring my seven year old daugther to an eye doctor before using eye patch?
Hey! Thanks for the question. I would definitely see an eye doctor before doing a patching treatment to ensure it is the treatment your daughter needs.
My son came to know about lazy eye when he is 13. What can be done to cure? Is there a cure at this age?
Plzz reply this is very important for me ...my parents don't afford any vision therapy ...I have 5-10%lazy eye...can exercise on daily basis correct my eye?
I think there are apps that you can do vision therapy on for free but I’m not one hundred per cent sure.
@@amythornton1984 could you suggest me any?
I have a lazy left eye which moves inwards a little bit when I look closely (while reading for example). Because of that I get double vision. Very uncomfortable. So sad I was not diagnosed as a kid and now it's too late :'(
I'm sorry you struggle with this. Here is a video on surgery for this issue, if you are interested - th-cam.com/video/Bm7ENi0C80o/w-d-xo.html
@@DrRupaWong thank you!
Dr. I am 21 year old ..I have a lazy eye...should I wear the patch?
Patching is usually for children so wouldn’t necessarily be effective for adults; a doctor will suggest glasses.
It’s always worth a try though. 🤷🏼♀️
@@amythornton1984 now I'm 23😅😅. I have tried patching too but the problem is ...when I stopped doing it , squint came again. 🥲
1975 they tried to get me to wear those but I wasn’t having it. At 53 now I wish I would have done it. I’m being told it’s about 85% effective. Now I’m out of luck
Hi! I think similar to the below comment, I'm wondering about treatment options for adults that have always had lower visual acuity in one eye compared to the other (lazy eye). My right eye is significantly weaker than the left as a 29 yo and I believe this causes me vision strain, easy crossing of the eyes at certain viewing angles, etc. I think my brain is literally blocking out certain amounts of info from my weaker eye, because it seems a lot less clear/ with some more slightly faded vertical stripes of vision when I'm only looking out my right eye, if that makes sense. I'm wondering if anything can be done in terms of patching, eye exercises, etc. that will still benefit adults? I used to wear an eye patch as a kid and had prescription glasses for this reason, but poor compliance and I don't think the situation was ever fully rectified.
I will link a video I have done on vision exercises here: th-cam.com/video/Hw4WzcnWptw/w-d-xo.html
I hope this helps a little bit! I know it can be so hard to deal with these things.
i have the same problem and the same age ..i know its tough..did you find anything interessting on the this issue ?
My daughter is suffering with refractive amblyopia right eye -H53.021 myopia right eye-H52.11 please guide hospital treatment is so expensive can she gain her sight ?and the left eye is perfect she is 12 years old
You can’t get hospital treatment for it anyway; it’s a lifelong condition. Does she wear glasses?
Can you use both method? Patch and glasses or would that confuse the brain?
No it wouldn’t; I did both as a child. Emphasis on the fact that patching is usually done with children.
I am 44year old.what I do.
Is this okay for a 7 year old who has right intermittent exotropia?
Have done anything yet? And what's the outcome now?
I can't even read when I pack one eye . What should I do .
See an eye specialist.
I was 13 when i notice that my right eye is blurry now im 14 can i still use an eye patch?
Yes
When your 17 you can't fix it but you can still treat it in time
@@TheUnknownUser28 thanks for the replay
@@TheUnknownUser28 i just got operated so sad 😭
@@AnimatedAdventure101 oof i still have it and i need to get an eyepatch 😭
Does this work with adults ?
?
Little evidence to prove that
But you can give it a try anyway
hello. im 17 and i have a lazy eye. my left eye wanders off. and its embarrassing. i cannot get a surgery or go to a doc due to financial problems. would this eye patch work fix them at 17 or is it too late?
You can definitely give it a shot! Also, I will post a link to my eye exercises video here: th-cam.com/video/Hw4WzcnWptw/w-d-xo.html
Should we wear it all day long or 2-3 hours?
2-6 hours a day.
i am 32 years old ..can i use patch ...please reply ...
Technically no; it is usually meant for children but it’s still worth a shot. Speak to your doctor or an eye specialist.
Hi got interested in this😢 my 4yr.old boy got "lazy eye" on his right eye😢 it started last year on October 8, 2023.. permanent..lazy..?😢 he can't control it anymore 😢
pleas help your sun
It is permanent. There are tools out there to manage it but it will never go away.
Maam im under 18 & how to fix my lazy eye plz reply ma'am 😫😫😢😢
same bro...
You can’t fix it unfortunately. It’s a lifelong condition but you can at least see an eye specialist.
It never helped me
Patching doesn't work my right eye is still weaker
I'm sorry you had that experience, Oliver! Thank you for sharing your feedback. I hope you can find an exercise that works better for you.
Damn I thought it was Mya pretending to be a doctor.
Haha!
Thanks for being here, Matthew.
My wife and I just noticed this in our 10 month old baby.
I noticed in mine too... At 10 months
Get it fixed its not easy for people with lazy eyes
@@williambarnes6231 it’s not but it can’t really be fixed.
New subscriber here! I found your channel and have been watching and learning so much from your videos!
Would you be able to do a video on ptosis?
I had a frontalis sling procedure due to my congenital ptosis and would love to know more information about it. Thank you Dr. Rupa Wong! :)
Thank you for your suggestion, Mia! I will take note of it. Thank you for subscribing! I am glad you're here.