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Any experts on lazy eye?

(21 Posts)
messystressy Mon 27-Jun-16 22:34:59

My DD is 4.5 and was diagnosed with a lazy eye a year ago, as we noticed one eye would drift when she was tired. Her eyes were tested, one eye slight prescription (+ 2.5) and the other was + 6.75. She has been wearing patches for three to four hours a day for about 9 months. So we went in today to have her eyes tested and prescription checked and her bad eye has improved only to + 6.25. I was disappointed, after all the patching. Then the dr said "oh the glasses don't improve the lazy eye". I'm so confused - I though patches WERE to try and strengthen lazy eyes? Any experts who have been through this who could advise and possibly offer some success stories for patching?

Diddlydokey Mon 27-Jun-16 22:38:36

I've been through it as a child. Specs did the job though and my eyesight has improved most years until now at age 30.

The patch was ineffective and my parents made the decision to stop using it after disappointing results. I was upset by it and they weighed it up.

Imnotaslimjim Mon 27-Jun-16 22:38:39

The patches are worn over the good eye to force the lazy eye to work.

I'm a little confused though, you said the sr said "oh the GLASSES don't improve the lazy eye" then say "I thought the PATCHES were to try and strengthen the lazy eye. So he's right, the glasses don't fix the turn, they improve the vision

messystressy Mon 27-Jun-16 22:42:16

Oh sorry, the dr said the PATCHES weren't to fix the lazy eye.

I did my usual "right....ok....yes" then went home and thought "what?".

SaveSomeSpendSome Mon 27-Jun-16 22:42:39

Im not an expert but i did have this problem as a child.

I refused to wear the patch and my mum gave up on the battle trying to make me wear it.

It corrected itself in the end. I think i was about 7ish and the body learns to control it itself

Ilikesweetpeas Mon 27-Jun-16 22:43:05

My DD had years of patching. We were told that it didn't improve the vision but because the lazy eye was made to work the turn corrected. From having a severe turn hers is not not noticeable.

messystressy Mon 27-Jun-16 22:46:57

Diddly - that's really interesting, especially as I am in a panic as everyone has told me the eye stops developing at 7-8 years old.

We went down the patching route as the glasses did not improve her eyesight after two months of wearing them. I guess the patches must be doing something (0.5) but it's just very slow. I admit it - I expected miracles...

messystressy Mon 27-Jun-16 22:48:23

Sweet peas - years!? Yikes...!!

Mixed response. Interesting...

blimeyalldecentnamesaregone Mon 27-Jun-16 22:51:20

The patches don't fix the lazy eye as in make the prescription better, but they should help the two eyes to work together to improve binocular vision.

It is the orthoptists you see at the hospital that specialise in movement of the eyes but the ophthalmologists that deal with the actual prescription itself, if that makes sense. The patches make your brain use the bad eye so that it does not forget all about it and stop using it leading to worse overall vision. That is my lay-parent take on it anyway.

With DS he wore patches all in for about 1.5years in total for between 2-6hrs per day. In the end he had the squint surgery aged 6 and has had no problems since.

The patches are worth persevering with for at least six months though as they do work for a lot of people and save having surgery. That said, I do remember the daily battle we used to have and it was not pleasant at all so I do sympathise. If your clinic has not given you cool patches there are several good ones available online which make it slightly easier.

Good luck.

RapidlyOscillating Mon 27-Jun-16 22:51:53

Patching doesn't improve the prescription - there's variability from test to test but not much ime. The ability to see full stop is what is improved. So, with your glasses on your lazy eye will only be able to read larger letters/ pictures than your non lazy eye. Eventually, with lots of patching, DD and I can read letters about a line apart on the chart, and have good vision even in our lazy eyes. Our glasses still have one thick lens and always will. That difference in prescription is why you get the lazy eye in the first place as your brain begins to disregard info from the 'worse' eye.

blimeyalldecentnamesaregone Mon 27-Jun-16 22:52:13

Cross posted with you OP and others.

RapidlyOscillating Mon 27-Jun-16 22:53:10

And bloody well done to be doing it 3-4 hours a day. We patched for 5 and a half years!

TondelayaDellaVentamiglia Mon 27-Jun-16 22:53:48

the patching generally will not improve the prescription, but it should improve the quality of her vision

it the brain does not get an accurate view from the eye because of an uncorrected prescription or turn/squint then the brain will effectively ignore that eye and then the vision will always be poor even if the maximum prescription is given

so the patching is to ensure the vision and resolution develops properly in the weaker eye and also that both eyes work together. ...for stereoscopic (3d/depth perception) vision.

RapidlyOscillating Mon 27-Jun-16 22:54:24

The patches also aren't intended to correct a squint/turn - again, separate issue.

messystressy Mon 27-Jun-16 22:57:44

Thanks both, I understand a lot better. God knows I should be an expert by now, with so many appointments at the hospital about this but it was just the dr comment today which threw me.

Sorry, one more question if I can: is surgery just to adjust the cosmetic appearance of the squint (but eyesight still reduced and needing glasses?).

RapidlyOscillating Mon 27-Jun-16 23:03:18

They will give you this info - there are tests to show whether there's any hope for stereopsis/ binocular vision via an op or if it's just cosmetic. My parents declined it for me and I have done for my daughter (having needed it for functional reasons at 15yrs old myself). There's risks with everything and our specs very nearly fully correct our squints, contacts not so much. Not having binocular vision isn't all doom and gloom btw, I can do close work and cross the road fine, we use other cues to build a 3d picture of the world smile

TondelayaDellaVentamiglia Mon 27-Jun-16 23:05:15

yes, and also to try and limit any issues with double vision.

TondelayaDellaVentamiglia Mon 27-Jun-16 23:06:12

hah...cross posting all over with rapidlyoscillating

RapidlyOscillating Mon 27-Jun-16 23:13:55

Ha! Sorry. That's what I ended up with, double vision, hence op needed anyway.

messystressy Mon 27-Jun-16 23:14:37

Five years patching! Holy cow!!!

No, thanks all, so very helpful - should have opened my mouth at the hospital today. I'm not bothered about the physical squint, it's not bad at all, more the patching. She is starting to hate it. I get "can I take it off yet?" every five minutes - but has been good as gold for the last seven months or so. I can tell the different patching is making when we see the orthoptics - but now I understand why I didn't see a major prescription change today.

stareatthetvscreen Mon 27-Jun-16 23:25:06

i am old but i had this as a child.my vision now is fine but only one eye is used so patches/glasses didn't make any difference.

i also had the op as a child - this was a cosmetic success.

i think medical belief now is that it is an issue in the brain and muscle connection to the eye - in the developing foetus rather than a problem with the eye itself.

you wouldn't know i had a problem. smile

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