How to adjust for a 6-year-old child with amblyopia and strabismus

Patient's question:

Hello Dr. Yin! My child was born in March of 10, and their eyes might be congenital amblyopia. This year, their right eye has also developed strabismus.

Doctor's answer:

Alternating Eye Covering Method: Suitable for refractive amblyopia and monocular strabismic amblyopia. If the visual acuity of both eyes is equal, equal alternating eye covering can be used, with each eye covered for 3 days alternately (left eye for 3 days, then right eye for 3 days). If there is a difference in visual acuity between the two eyes, methods such as 4:1 or 5:1 can be adopted based on specific conditions. This means covering the better-seeing eye for 4 days, then switching to cover the poorer-seeing eye for 1 day. This allows the weaker eye to see more and exercise its vision, promoting faster improvement in visual acuity to achieve balanced and improved binocular vision.

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