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Effect of eye patching on ocular surface

J Frucht-Pery1, H Stiebel, I Hemo

  • 1Department of Ophthalmology, Hadassah University Hospital, Jerusalem, Israel.

American Journal of Ophthalmology
|May 15, 1993
PubMed
Summary
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Pressure patching in medical students caused significant clinical signs and symptoms, unlike light patching. This method may lead to discomfort and temporary vision changes, often misattributed to other causes.

Area of Science:

  • Ophthalmology
  • Medical Education

Background:

  • Ocular surface health and visual function are critical for medical professionals.
  • Patching is a common intervention, but its effects on the ocular surface and patient experience require further investigation.

Purpose of the Study:

  • To evaluate the clinical effects and patient-reported symptoms associated with pressure patching versus light patching in medical students.
  • To determine if pressure patching causes ocular discomfort or visual disturbances.

Main Methods:

  • A study involving 27 medical students divided into pressure patching (n=14) and light patching (n=13) groups.
  • Clinical signs and symptoms were assessed before and after patching.
  • A control group (fellow eye, unpatched) was included for comparison.

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Main Results:

  • All participants in the pressure and light patching groups reported clinical signs or symptoms after patching, unlike the unpatched control group.
  • Pressure patching resulted in significantly higher scores for clinical signs (P = .019) and symptoms (P = .038) compared to light patching.
  • Two participants in the pressure patching group discontinued the study due to severe discomfort, and three experienced temporary corneal irregularities and decreased vision.

Conclusions:

  • Pressure patching can induce significant ocular discomfort and transient visual disturbances.
  • These effects may be misattributed to other conditions, highlighting the need for awareness among clinicians.
  • Ophthalmologists should consider the potential adverse effects of pressure patching on ocular health and patient comfort.