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To the Editor.
—Ophthalmologists are sometimes confronted with patients who have a severe cosmetic deformity following the loss of orbital tissues or exenteration. Ocular or oculofacial prostheses are available for these patients, but they may not be aesthetically or functionally acceptable in all cases. Men can frequently use a simple black eye patch (Hathaway patch) in these circumstances, which may evoke a certain "machismo" image. However, this image does not afford the same appeal to most women.We recently treated a woman who created a variety of patches with pleasing and often entertaining themes (Figure). She constructed her own patches from spare material to match her daily dress. She also made special patches to incorporate the motifs of holidays or seasons. She has received many positive comments and reinforcements on the appearance of her patches, which made this attractive young lady less self-conscious about her deformity.We feel that such
Wolin MJ, Holds JB, Anderson RL. Fashionable Patches. Arch Ophthalmol. 1989;107(9):1277–1278. doi:10.1001/archopht.1989.01070020347005
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