Placement of the patch on the sound (good) eye.
The adhesive patch should be angled so the more narrow part crosses above the bridge of the nose and the wider base is angled towards the ear.
Help! My toddler won’t keep the patch on!
If you and your toddler are new to patching, then you will quickly discover that keeping the patch on an active, and non-compliant, toddler will seem difficult. However, PERSEVERE! Why? Because as the vision improves in the lazy eye, your toddler will become more used to and tolerant of wearing the patch.
How do you keep the patch on an active 5 year old?
At this age, it will require a lot of parental control and creativity. As the parent, you are in charge – patching is not a democratic decision! Use a reward system. The promise of a favorite activity or treat is a great incentive in exchange for a period of good patching (e.g., extra time playing their favorite game). Another successful trick is to create a Patching Poster. After a successful day of patching, your child can remove their patch and place it on the poster. When completed, your child will have a terrific wall poster to celebrate the achievement of a patching job well done!
Wouldn’t it just be easier to postpone patching until my child is older and able to understand why it is necessary to wear a patch?
It’s only possible to improve vision with patching therapy when your child is very young. By age 8 or 9, their visual system is mature and is unlikely that patching will be effective in treating their amblyopia. So despite the fact that your toddler can not understand why the vision in his better seeing eye has disappeared by covering it with a patch, the visual benefits to be gained in the long-term by eliminating his amblyopia at a young age are ultimately worth the aggravation!
What are the ways we can make it more comfortable to take the patch off?
Having your child make it thorough prescribed patch time is a great milestone! Once it comes time for removal, some children panic that it will hurt. Taking proper steps for removal can make a huge difference. One trick is to rub Milk of Magnesia liquid on the skin to be covered by the patch. Let the liquid dry and then apply the patch.