Monday, March 16, 2009

Patching Out and Meds In?

I just read another article about Patching vs Atropine drops for treatment of Amblyopia. Since today we are dosing with Atropine drops for a refraction exam, the topic is high on my mind. My daughter is headed down a journey of patching as recommended by our ophthalmologist.

This one, titled: Patching has become old school

So...if Patching is so old school. How come is it that the doctors and folks I consulted with about my daughter's eye condition all said patching was the way to go? Our PO's stance is that the atropine route is suitable for less severe conditions of amblyopia or in the cases where parents were meeting with utmost resistence in compliance with patching. We are seeing a well respected dr. in the area, and one that comes with a lot of kudos. I'm wondering though after reading study after study that maybe he is "dated" in the treatment? On one hand I feel the drops could 'save' her from teasing or the 'stigma' of wearing a patch. On the other hand I'm not one to just jump to meds as a solution - especially not knowing the long term impact that they could have on her vision.

So, I want to know...

Which worked for you?
Patching or Atropine?
Your thoughts?

Related links:
Patching vs Atropine to Treat Amblyopia in Children Aged 7 to 12 Years
Patching vs Atropine: Which Is the Better Treatment for Pediatric Amblyopia?
Patching Has become Old School
Patching vs atropine to treat amblyopia in children aged 7 to 12 years: a randomized trial.
Patching vs Atropine Drops


  1. My PO said patching is the best, but my 2 year old won't comply and therefor atrophine was a better treatment option. We are eye dropping in the morning and patch in the evening. It seems like the studies show similar results for both, but each child is so different. Ann Z posted your site on Toddler4 eyes. Thanks for blogging.

  2. We were never prescribed the drops for Maggie. Honestly, I had never heard of the drops and we were seen by the best eye institute in my state. For any other parents who are struggling with the patch, my child's doctor recommended opaque contact paper cut to the lens size and stuck to the inside of the glasses. This worked wonderfully, and Maggie only needed the patch for about 8 months (ever child of course is different!).