Saturday, 7 February 2015

eyepatch therapy untuk my girl

Disebabkan anak saya ada "lazy eyes", maka kami disarankan membuat eyepatch therapy untuk anak. Jadi eyepatch ni banyak jenis...terpulanglah nak pakai style macam mana.

1. Pirate eyepatch

2. Opticlude eyepatch (macam handiplast tapi khas utk mata)

3. DIY eyepatch

Asalnya nak cari eyepatch opticlude yang ada corak2 tu tapi tak jumpa pula. Jumpa yang jenis plain tadde kaler tu. Agak2 tak menarik untuk anak kecil...Tapi yang paling penting harganya sangat mahal. Dahlah disarankan untuk sesi rawatan 15 minit beberapa kali untuk 1-2 jam sehari secara total. Jenuh juga setiap kali nak tukar eyepatch baru. Nak pakai semula tak gerenti gam dia boleh melekat balik...

jadi.....saya pon plan nak buat eyepatch sendiri untuk anak...murah dan menarik minat anak untuk lebih berdisiplin memakai eyepatch dia.....

ni antara beberapa page yang saya jenguk... <-- SAYA IKUT YG NI


Saya beli felt di kedai MR. DIY....murah je 5 keping (warna lain2 setiap keeping) naru RM 2.80.

Tapi felt yang kat MR DIY ni jenis craft felt (synthetic felt), dia keras dan kualitinya berbeza dari wool felt yang lebih lembut.

 fet ada 5 warna: ungu, kuning, pink, hijau, hitam

So inilah hasil buatan ibu sendiri....

Ni serba sedikit maklumat tentang eyepatch therapy. ......

When should patching be used for amblyopia treatment?

Patching should only be done if an ophthalmologist recommends it. An ophthalmologist should regularly check how the patch is affecting the child’s vision. Although it can be hard to do, patching usually works very well if started early enough and if the parents and child follow the patching instructions carefully. It is important to patch the dominant eye to allow the weak eye to get stronger. [See figure 2]

Are there different types of patches?

The classic patch is an adhesive "Band-Aid" which is applied directly to the skin around the eye [See figure 3]. They are  available in different sizes for younger and older children. For children wearing glasses, both cloth and semi-transparent stickers (Bangerter foils) may be placed over or onto the spectacles. "Pirate" patches on elastic bands are especially prone to "peeking" and are therefore only occasionally appropriate.

Is there an alternative to patching to treat amblyopia?

Sometimes the stronger (good) eye can be “penalized” or blurred to help the weaker eye get stronger. Blurring the vision in the good eye with drops will penalize the good eye [See figure 4]. This forces the child to use the weaker eye. Ophthalmologists use this treatment instead of patching when the amblyopia is not very bad or when a child is unable to wear the patch as recommended. For mild to  moderate degrees of amblyopia, studies have shown that patching or eyedrops may be similarly effective. Your pediatric ophthalmologist will help you select what treatment regimen is best for your child.

Do drops work for all amblyopic children?

Not all children benefit from eye drop treatment for amblyopia. Penalizing eye drops (such as atropine) do not work as well when the stronger eye is nearsighted.

How many hours per day patching is enough when treating amblyopia?

The mainstay of treating amblyopia is patching of the dominant (good) eye, either full or part-time during waking hours. Although classic teaching suggests that the more hours per day patching is performed, the greater the result, recent studies suggest that shorter periods may achieve similar results as longer amounts of patching in patients with moderate amounts of amblyopia.

How long does amblyopia patching therapy take to work?

Although vision improvement frequently occurs within weeks of beginning patching treatment, optimal results often take many months. Once vision has been improved, part-time (maintenance) patching or periodic use of atropine eyedrops may be required to keep the vision from slipping or deteriorating. This maintenance treatment may be advisable for several months to years.

During which activities should patching be performed?

The particular activity is not terribly important, compared to the need to keep the patch on during the allotted time. As long as the child is conscious and has his or her eyes open, visual input will be processed by the amblyopic eye. On the other hand, the child may be more cooperative or more open to bargaining if patching is performed during certain, desirable activities (such as watching a preferred television program or video). Some eye doctors believe that the performance of near activities (reading, coloring, hand-held computer games) during treatment may be more stimulating to the brain and produce better or more rapid recovery of vision.

Should patching be performed during school hours?

In many instances, school is an excellent time to patch, taking advantage of a nonparental authority figure. Patching during school hours gives the class an opportunity to learn valuable lessons about accepting differences between children. While in most instances, children may not need to modify their school activities while patching, sometimes adjustments such as sitting in the front row of the classroom will be necessary. If the patient, teacher, and classmates are educated appropriately, school patching need not be a socially stigmatizing experience. On the other hand, frequently a parental or other family figure may be more vigilant in monitoring patching than is possible in the school setting. Parents should be flexible in choosing when to schedule patching.

What if my child refuses to wear the patch?

Many children will resist wearing a patch at first. Successful patching may require persistence and plenty of encouragement from family members, neighbors, teachers, etc. Children will often throw a temper-tantrum, but then they eventually learn not to remove the patch. Another way to help is to provide a reward to the child for keeping the patch on for the prescribed time period.

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