Translucent Patching on the Eyewear

Stop Patching with Black "Pirate" Patches!
 

		The traditional black patch should not be use routinely for patients with periods of intractable diplopia. The black "pirate" patch is obviously very poor cosmetically but also is poor psychologically for a patient faced with an uncertain time ahead with diplopia. The complete blockage of light from the eye is also uncomfortable for most patients.
		The "pirates patch blocks the side vision on that side. There is no reason to do this, since the far temporal visual field will not cause double vision.
		A third nerve paralysis causing double vision.
		A simple solution we use at our centers is to apply a translucent patching material which originally invented to reduce vision in the patched eyes of amblyopic children.
		It allows some light and motion to reach the eye but adequately blocks the double vision in most situations. The patient can still to the far temporal field which is much more comfortable.
		Notice the improvement of the appearance of this young lady with a traumatic third nerve paralysis. Not the top right picture which shows the right eye drifting out and down. At ten to twenty feet the patch is nearly invisible to others. Patients feel better about appearing in public.
		To further hide the patching material in sunwear or "travel" eyewear (shopping, travel, driving in daytime) we can apply a mirror coating to hide the patching material completely. See our section on mirror occlusion eyewear.
		A new permanent option is available called the Mins Lens.         Mins Lens for Double Vision

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