Eyepatch
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An eyepatch is a small patch that is worn in front of one eye. It may be a cloth patch attached around the head by an elastic band or by a string, an adhesive bandage, or a plastic device which is clipped to a pair of glasses. It is often worn by people to cover a lost or injured eye, but it also has a therapeutic use in children for the treatment of amblyopia. Eyepatches used to block light while sleeping are referred to as a
sleep mask Sleep is a sedentary state of mind and body. It is characterized by altered consciousness, relatively inhibited sensory activity, reduced muscle activity and reduced interactions with surroundings. It is distinguished from wakefulness by a de ...
. An eyepad or eye pad is a soft medical dressing that can be applied over an eye to protect it. It is not necessarily the same as an eyepatch.


History

In the years before advanced medicine and surgery, eyepatches were common for people who had a lost or injured eye. They were particularly prevalent among members of dangerous occupations, such as soldiers and sailors who could lose an eye in battle. While stereotypically associated with pirates, there is no evidence to suggest the historical accuracy of eye patch wearing pirates before several popular novels of the 19th century (see
Association with pirates Association may refer to: *Club (organization), an association of two or more people united by a common interest or goal *Trade association, an organization founded and funded by businesses that operate in a specific industry *Voluntary associatio ...
below).


Medical uses


Amblyopia

Eye patching is used in the orthoptic management of children at risk of lazy eye ( amblyopia), especially strabismic or anisometropic amblyopia. These conditions can cause visual suppression of areas of the dissimilar imagesFinal Activity and Management Report Summary - SVS (Strabismus and visual suppression)
CORDIS
by the brain such as to avoid
diplopia Diplopia is the simultaneous perception of two images of a single object that may be displaced horizontally or vertically in relation to each other. Also called double vision, it is a loss of visual focus under regular conditions, and is often v ...
, resulting in a loss of visual acuity in the suppressed eye and in extreme cases in blindness in an otherwise functional eye. Patching the good eye forces the amblyopic eye to function, thereby causing vision in that eye to be retained. It is important to perform "near activities" (such as reading or handiwork) when patched, thereby exercising active, attentive vision. A study provided evidence that children treated for amblyopia with eye patching had lower self-perception of
social acceptance Acceptance in human psychology is a person's assent to the reality of a situation, recognizing a process or condition (often a negative or uncomfortable situation) without attempting to change it or protest it. The concept is close in meaning to ...
. To prevent a child from being socially marginalized by their peers due to wearing an eye patch, atropine eye drops may be used instead. This induces temporary blurring in the treated eye. It has been pointed out that the penalization of one eye by means of patching or atropine drops does not provide the necessary conditions to develop or improve
binocular vision In biology, binocular vision is a type of vision in which an animal has two eyes capable of facing the same direction to perceive a single three-dimensional image of its surroundings. Binocular vision does not typically refer to vision where an ...
. Recently, efforts have been made to propose alternative treatments of amblyopia that do allow for the improvement of binocular sight, for example, using
binasal occlusion Binasal occlusion is a method of partial covering (occlusion) of the visual field of the two eyes in which the sector of the visual field that is adjacent to the nose (the nasal visual field) is occluded for each eye. It is a well-known procedure in ...
or partially frosted spectacles in place of any eye patch, using alternating occlusion goggles or using methods of
perceptual learning Perceptual learning is learning better perception skills such as differentiating two musical tones from one another or categorizations of spatial and temporal patterns relevant to real-world expertise. Examples of this may include reading, seeing ...
based on video games or virtual reality games for enhancing binocular vision. A 2014 Cochrane Review sought to determine the effectiveness of occlusion treatment on patients with sensory deprivation amblyopia, however no trials were found eligible to be included in the review. However, it is suggested that good outcomes from occlusion treatment for sensory deprivation amblyopia rely on compliance with the treatment.


Extraocular muscle palsy

To initially relieve double vision (
diplopia Diplopia is the simultaneous perception of two images of a single object that may be displaced horizontally or vertically in relation to each other. Also called double vision, it is a loss of visual focus under regular conditions, and is often v ...
) caused by an extra-ocular muscle palsy, an
eye care professional An eye care professional (ECP) is an individual who provides a service related to the eyes or vision. It is any healthcare worker involved in eye care, from one with a small amount of post-secondary training to practitioners with a doctoral level ...
may recommend using an eyepatch. This can help to relieve the dizziness, vertigo and nausea that are associated with this form of double vision.O'Sullivan, S.B & Schmitz, T.J. (2007). Physical Rehabilitation. Philadelphia, PA: Davis. .


Use by aircraft pilots

Aircraft pilot An aircraft pilot or aviator is a person who controls the flight of an aircraft by operating its directional flight controls. Some other aircrew members, such as navigators or flight engineers, are also considered aviators, because they a ...
s used an eye patch, or close one eye to preserve night vision when there was disparity in the light intensity within or outside their aircraft, such as when flying at night over brightly lit cities, so that one eye could look out, and the other would be adjusted for the dim lighting of the cockpit to read unlit instruments and maps. Some military pilots have worn a lead-lined or gold-lined eyepatch, to protect against blindness in both eyes, in the event of a
nuclear blast Nuclear Blast is a record label and mail order record distributor with subsidiaries in Germany, the United States and Brazil. The label was founded in 1987 by Markus Staiger in Germany. Originally releasing hardcore punk records, the label mov ...
or
laser weapon A laser weapon is a directed-energy weapon based on lasers. After decades of R&D, directed-energy weapons including lasers are still at the experimental stage and it remains to be seen if or when they will be deployed as practical, high-perf ...
attack. Eyepatches are not currently used by military personnel; modern technology has provided an array of other means to preserve and enhance night vision, including red-light and low-level white lights, and
night vision device A night-vision device (NVD), also known as a night optical/observation device (NOD), night-vision goggle (NVG), is an optoelectronic device that allows visualization of images in low levels of light, improving the user's night vision. The devi ...
s.


Association with pirates

Rahmah ibn Jabir al-Jalahimah Rahmah ibn Jabir ibn Adhbi al-Jalhami ( ar, رحمة بن جابر بن عذبي الجلهمي; c. 1760–1826) was an Arab ruler in the Persian Gulf region and was described by his contemporary, the English traveler and author, James Silk Buck ...
, once the most popular pirate in the
Persian Gulf The Persian Gulf ( fa, خلیج فارس, translit=xalij-e fârs, lit=Gulf of Persis, Fars, ), sometimes called the ( ar, اَلْخَلِيْجُ ٱلْعَرَبِيُّ, Al-Khalīj al-ˁArabī), is a Mediterranean sea (oceanography), me ...
, was also the first known to wear an eyepatch after losing an eye in battle. Ex-sailors, ashore, were sometimes portrayed as having an eyepatch to cover the loss of an eye. Medical texts have referred to the eye patch as a "pirate's patch" and, writing in the Minnesota Academy of Sciences Journal in 1934, Charles Sheard of the
Mayo foundation The Mayo Clinic () is a nonprofit American academic An academy (Attic Greek: Ἀκαδήμεια; Koine Greek Ἀκαδημία) is an institution of secondary or tertiary higher learning (and generally also research or honorary membersh ...
pointed out that by "wearing a patch (The pirate's patch) over one eye, it will keep the covered eye in a state of readiness and adaptation for night vision". This technique was explored during WWII by institutes such as the
United States Navy The United States Navy (USN) is the maritime service branch of the United States Armed Forces and one of the eight uniformed services of the United States. It is the largest and most powerful navy in the world, with the estimated tonnage ...
. The proposal that pirates may have worn an eyepatch so that one eye would be pre-adjusted to below-deck darkness was tested in an episode of ''
MythBusters ''MythBusters'' is a science entertainment television program, developed by Peter Rees and produced by Australia's Beyond Television Productions. The series premiered on the Discovery Channel on January 23, 2003. It was broadcast internatio ...
'' in 2007 and found to be plausible, but without any recorded historical precedent.MythBusters, episode 71
/ref>


Notable wearers

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Sir Adrian Carton de Wiart Lieutenant-General Sir Adrian Paul Ghislain Carton de Wiart, (; 5 May 1880 – 5 June 1963) was a British Army officer born of Belgian and Irish parents. He was awarded the Victoria Cross, the highest military decoration awarded for valour "i ...

' National Portrait Gallery, London, National Portrait Gallery''
* Ana de Mendoza *
André De Toth Endre Antal Miksa DeToth, better known as Andre de Toth (born Endre Antal Mihály Tóth; May 15, 1913 – October 27, 2002), was a Hungarian-American film director, born and raised in Makó, Austria-Hungary. He directed the 3D film House of Wa ...
*
Andrew Vachss Andrew Henry Vachss ( ; October 19, 1942 – November 23, 2021) was an American crime fiction author, child protection consultant, and attorney exclusively representing children and youths. Early life and career Vachss grew up in Manhattan o ...
* Barbara Boggs Sigmund *
Bobby Helms Robert Lee Helms (August 15, 1933 – June 19, 1997) was an American country singer, who is best remembered for his 1957 Christmas hit "Jingle Bell Rock". Additionally, he had two other hit records from that year: " Fraulein" and "My Special Ang ...
* Bruce Peterson *
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Our favorite eyepatch heroes
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Charles Stourton, 26th Baron Mowbray Charles Edward Stourton, 23rd Baron Stourton, 27th Baron Segrave, 26th Baron Mowbray (11 March 1923 – 12 December 2006) was an English peer. He sat on the Conservative benches in the House of Lords and was a Conservative whip in government an ...
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Great Moments in Eye Patches
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Dick Curless Richard William Curless (March 17, 1932 – May 25, 1995) was an American country music singer. He usually wore a patch over his right eye. Biography Curless was born in Fort Fairfield, Maine, United States, and moved with his family to Ma ...
*
Dušan Prelević Dušan Prelević "Prele" (Serbian Cyrillic: Душан Прелевић Преле; November 11, 1948 – July 28, 2007) was a Serbian singer, journalist, and writer. During his career Prelević released three solo albums and a large number of ...
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* François Coli *
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* Nick Popaditch *
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Rahmah ibn Jabir al-Jalahimah Rahmah ibn Jabir ibn Adhbi al-Jalhami ( ar, رحمة بن جابر بن عذبي الجلهمي; c. 1760–1826) was an Arab ruler in the Persian Gulf region and was described by his contemporary, the English traveler and author, James Silk Buck ...
* Raoul Walsh *
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In fiction

An eyepatch can be used in fiction to lend an additional dimension to a character, an air of mystery or general ''
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Nick Fury Colonel Nicholas Joseph "Nick" Fury Sr. is a fictional character appearing in American comic books published by Marvel Comics. Created by writer/artist Jack Kirby and writer Stan Lee, he first appeared in ''Sgt. Fury and his Howling Commandos ...
(
Marvel Comics Marvel Comics is an American comic book publishing, publisher and the flagship property of Marvel Entertainment, a divsion of The Walt Disney Company since September 1, 2009. Evolving from Timely Comics in 1939, ''Magazine Management/Atlas Co ...
) *
Ultimate Nick Fury General (United States), General Nicholas Joseph "Nick" Fury is a fictional character appearing in comic books published by Marvel Comics' Ultimate Marvel section as a alternative versions of Nick Fury, different version of Nick Fury. He has a sub ...
(
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(
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) * Beidou (
Genshin Impact ''Genshin Impact'' is an action role-playing game developed and published by miHoYo. It was released for Android, iOS, PlayStation 4, and Windows in 2020, on PlayStation 5 in 2021, and is set for release on Nintendo Switch. The game feature ...
) * Fischl (
Genshin Impact ''Genshin Impact'' is an action role-playing game developed and published by miHoYo. It was released for Android, iOS, PlayStation 4, and Windows in 2020, on PlayStation 5 in 2021, and is set for release on Nintendo Switch. The game feature ...
) * Basil St. John ( Brenda Starr, Reporter) *
Sally Brown Sally Brown is a fictional character in the comic strip ''Peanuts'' by Charles Schulz. She is the younger sister of main character Charlie Brown. She was first mentioned in May 1959 and throughout a long series of strips before her first appeara ...
* The " Hathaway Man" advertising character *
Number 2 2 (two) is a number, numeral and digit. It is the natural number following 1 and preceding 3. It is the smallest and only even prime number. Because it forms the basis of a duality, it has religious and spiritual significance in many cultur ...
(
Austin Powers ''Austin Powers'' is a series of American spy action comedy films: '' Austin Powers: International Man of Mystery'' (1997), '' Austin Powers: The Spy Who Shagged Me'' (1999) and '' Austin Powers in Goldmember'' (2002). The films were produced ...
) * Steve Johnson (''
Days of Our Lives ''Days of Our Lives'' (also stylized as ''Days of our Lives''; simply referred to as ''Days'' or ''DOOL'') is an American television soap opera that streams on the streaming service Peacock. The soap, which aired on the American television net ...
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See also

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Orthoptist Orthoptics is a profession allied to the eye care profession. Orthoptists are the experts in diagnosing and treating defects in eye movements and problems with how the eyes work together, called binocular vision. These can be caused by issues with ...
*
Blindfold A blindfold (from Middle English ') is a garment, usually of cloth, tied to one's head to cover the human eye, eyes to disable the wearer's visual perception, sight. While a properly fitted blindfold prevents sight even if the eyes are open, a ...
*
Haploscope A haploscope is an optical device for presenting one image to one eye and another image to the other eye. The word derives from two Greek roots: ''haploieides'', single and ''skopeo'', to view. The word is often used interchangeably with stereosco ...
*
Diplopia Diplopia is the simultaneous perception of two images of a single object that may be displaced horizontally or vertically in relation to each other. Also called double vision, it is a loss of visual focus under regular conditions, and is often v ...
*
Domino mask Dominoes is a family of tile-based games played with gaming pieces, commonly known as dominoes. Each domino is a rectangular tile, usually with a line dividing its face into two square ''ends''. Each end is marked with a number of spots (also ca ...
*
Binocular vision In biology, binocular vision is a type of vision in which an animal has two eyes capable of facing the same direction to perceive a single three-dimensional image of its surroundings. Binocular vision does not typically refer to vision where an ...
*
Stereopsis Stereopsis () is the component of depth perception retrieved through binocular vision. Stereopsis is not the only contributor to depth perception, but it is a major one. Binocular vision happens because each eye receives a different image becaus ...


References


External links


International Orthoptic Association
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