ON OCCASION it is important to avoid irritation of the skin under spectacle nose pads. Epitheliomas and keratoses particularly arise in this area on the lateral upper nose. Following surgical or radiation treatment it is especially necessary to avoid pressure to promote healing. Patients with refractive errors find it inconvenient to leave off their glasses entirely, and in certain activities and occupations this can be highly dangerous.
The saddle bridge is a substitute for conventional nose pads. It rests transversely on the anterior-superior nasal bridge rather than laterally. There are two types of saddle bridge commercially available—metal and plastic.* Either can be affixed to spectacle frames by a competent optician or jeweler and may be left temporarily or permanently. The plastic bridge is hinged and is available in a wider size which seems to be more
JOSEPH HL. The Saddle Bridge. Arch Dermatol. 1965;92(1):63. doi:10.1001/archderm.1965.01600130069012
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