The Success of Patching Therapy in An Infant Population at Rehabilitative Kindergartens/Nursery schools.

Purpose: Patching has long been an accepted treatment method in treating or preventing amblyopia and strabismus, particularly in infants. Eliya is a non-profit network of rehabilitative kindergartens/nursery schools for the blind or partially sighted in Israel. As many of our children are accepted w...

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Publicado en:Optometry & Visual Performance Vol. 13; no. 4; pp. 238 - 242
Autor principal: Koslowe, Kenneth
Formato: research tables/charts Journal Article
Publicado: Optometric Extension Program Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 13
      iid: 4
      pid: 46881
      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: The Success of Patching Therapy in An Infant Population at Rehabilitative Kindergartens/Nursery schools.
      aug:
        au: Koslowe, Kenneth
        affil: The Association for Blind and Visually Handicapped Children Petach Tikva, Israel
      sug:
        subj:
          Amblyopia Surgery
          Amblyopia Rehabilitation
          Strabismus Surgery
          Strabismus Rehabilitation
          Eye Patching Methods
          Schools, Nursery Israel
          Cataract Extraction Methods
          Treatment Outcomes
          Israel
          Human
          Infant
          Descriptive Statistics
          Record Review
          Visual Acuity
          Postoperative Period
          Motor Skills
          Child Development
          Infant: 1-23 months
      ab: Purpose: Patching has long been an accepted treatment method in treating or preventing amblyopia and strabismus, particularly in infants. Eliya is a non-profit network of rehabilitative kindergartens/nursery schools for the blind or partially sighted in Israel. As many of our children are accepted with recommendations for patching, it was felt that it would be useful both for our staff and the referring doctors to monitor the results of the recommended patching regimen. Methods: An initial group of 29 was identified by the referring documents as having patching recommended. They were located in four out of our five centers throughout the country. In each center, a staff member underwent training by the primary author (an optometrist with 50 years of experience) until they were proficient. The test chosen for monitoring was the Lea Paddle Acuity test. This was both available, easily trainable, and successful. All infants with a recommendation for patching were included in this project; no preselection was done regarding diagnosis or the amount of patching that was recommended. From the initial group of 29, nine children dropped out either due to total non-compliance with patching or a change in the recommendation of the referring doctor. The twenty remaining children consisted of 14 post-cataract surgery (average age at time of surgery was 6.8 weeks) and six with varying retinal problems. They were tested every three to four months for a final testing period of approximately one year from the start of the study. Results: At the end of one year, 12 of the 14 postcataract children showed marked improvement or had normal acuity in the affected eye, while only one of the retinal cases showed any improvement. Conclusions: Patching one eye produced satisfactory results in cases of post-surgical monocular cataracts. It was largely ineffective in cases of retinal defects, especially so as the defects themselves were not resolved prior to the treatment.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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