Waking up and strengthening the weak eye is great, but you must get to the root of the problem by teaching the brain to use the eyes together. Patching can help set the foundation for improving binocular function, but in-office vision therapy is going to make a 10x bigger difference than patching alone. After elbow splinting was introduced, 34/41 children 83% became compliant with wearing the patch alone without continuously using the splints as well. Seven children 17% remained non-compliant with patching after splinting was initiated, as the majority 5/7 children were able to remove the splints and then the patch. Among the 41 children who were no longer using splints at the time of the questionnaire, the median range amount of time the splints were used to modify behavior and improve patching compliance was 7 1–240 days Figure 2.

patching therapy