Amblyopia treatment

If your child has a high and/or uneven visual defect, your child will be prescribed glasses. If the visual acuity of the affected eye remains reduced despite wearing glasses, a masking treatment with a masking plaster with a colorful motif is started. This therapy is the best method. Alternatively, masking films can be stuck to the lens, but this requires that the glasses are worn well. More rarely, a fabric eye patch or pupil-dilating eye drops are used to nebulize the better eye.

The good eye is covered to activate visual development in the eye with poorer vision. The duration of the covering is adjusted individually, depending on the age of the child and the severity of the visual impairment. Regular checks are carried out to see whether the visual acuity of the worse eye improves. The aim is to achieve equal visual acuity for near and far. This is usually only achieved after months to years. Subsequently, a reduced period of coverage may be necessary to maintain visual acuity until around the age of 10. After that, the risk of the eye becoming weak-sighted again decreases.

An existing strabismus or defective vision is not corrected by the masking treatment. Conspicuous strabismus can be improved after masking treatment with eye muscle surgery, but a high degree of defective vision usually remains.

Kind mit Sehschwäche wird betreut

Amblyopia: Prognosis

Low vision’ is usually completely treatable with early diagnosis and treatment. As parents, you can contribute a great deal to the success of the therapy:

  • Let your child choose the motifs for the eye patches themselves.
  • Carry out the therapy consistently and integrate it into your daily routine
  • Inform caregivers at the daycare center or teachers and involve them in the therapy.
  • During cover therapy, you could look at books with your child, draw, play, do homework or, exceptionally, give them the tablet to play with (the eye should actively ”work” for proximity).
  • Possibly work with a reward system and build in fixed times for therapy.

The success of the masking therapy essentially depends on whether the masking therapy prescribed by the orthoptist is followed by you and your child.

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