occluding lens for patching

This post comes from Danielle, who’s daughter, Mia, had a cataract in one eye.   If you’re new, you may also want to read Mia’s story and update. – Ann Z

Our daughter Mia just received an occluding contact lens that she will use as a means for patching her left eye. She began wearing a patch when she was 2 months old and once she turned 3 months old we began having problems with her screaming and rubbing the patch until she was able to remove it. We have tried stronger adhesive patches that caused a rash on her face and was starting to remove her eyebrow. Her PO suggested makeshift arm splints and we flat out refused to restrain our daughter. After we exhausted most of our options, and with consistent nagging and persistence, we finally got her the black occluding contact lens.

Mia wearing the occluding lens

Mia wearing the occluding lens

The lens is just like a regular contact lens and needs to same care. When the contact lens is in her eye it completes occludes her good eye and works exactly like a regular patch. Our daughter was born with a unilateral cataract so when she patches her good eye it must be completely occluded; we could not use atropine drops as a method for patching. Mia received her lens yesterday and we began using the lens this evening. We were able to get over 2 hours of straight patching in; which is the longest she has had her eye consistently patched since she was about 3 months old. Mia is really good with people fiddling in her eye so she was pretty good for us when we put the lens in, however it took 5 tries before we got the lens in her eye. She also has brown eyes so the lens is not very noticeable.

If there are any parents that are having as much problems as we have had, please ask your doctor about the black lens. I have read up on the occluding lens and I have heard that the success rate is much higher than a regular patch.

close up of the lens on Mia's eye

close up of the lens on Mia's eye

3 responses to “occluding lens for patching

  1. Pingback: your stories - cataracts « little four eyes·

  2. Hi Danielle. Your daughter has been through a LOT in her young little age! I know it is terribly hard to discover how little she sees when the good eye is patched. We have been there and some times, I simply gave in because I felt like I was torturing my child by blocking vision in the good eye. On hind sight, I regret giving in because now she is older and it is harder to fix her amblyopia now than it would have been when she was younger. So, as a word of encouragement, persevere with the patching!!! It will pay off in the long run and it may be only months from now that her vision will be almost as good as the better eye! The earlier you can improve vision the better the chances will be that your little Mia will not have developmental delays due to the lack of depth perception, etc. It took our Ellie 20 months before she felt safe enough to take her first steps. I thought we would get a permanent spot at the ER before it would be over with. 🙂


  3. Pingback: Your stories: you make the best decision based on the information you are provided with « little four eyes·

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