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Thanks very much! And thanks also for mentioning the bit about lefty's usually covering the left eye same as a right side dominant would do - I'm a southpaw and would have wondered had you not mentioned this. My right eye IS dominant <Odd, that, since I am SO totally a lefty> Barb Mallut [log in to unmask] -----Original Message----- From: Jacqueline Winterkorn, PhD, MD <[log in to unmask]> To: [log in to unmask] <[log in to unmask]> Date: Sunday, May 16, 1999 5:25 PM Subject: Answers on diplopia >Questions have arisen about when to use translucent occlusion of a spectacle >lens. >1. If you can't control diplopia with prisms and it continues to be annoying, >and if it is truly double vision and not just blurred vision in each eye >alone, covering either eye will resolve the problem. This is instead of a >prism or when a prism stops working. > >2. I find patients are more comfortable with putting translucent tape over >one eye than wearing a patch. Micropore surgical tape 2 inches wide is ideal, >or wide scotch tape carefully applied so there is no annoying seam. Cover >the entirety of the lens where the problem is, i.e., if you only have double >vision at near [reading], just tape the reading glasses or the small bifocal >segment used to read [that is, if you insist upon bifocals.] > >3. In most patients, even left handed patients, the right eye is preferred >to fixation. Therefore, in giving general advise to a large group, I say to >cover the inside of the left spectacle lens -- I really mean the lens of the >non-dominant eye. > >Jacquie Winterkorn, MD >