I started wearing this patch when I first started having problems with double vision due to Graves' disease. This is the first and only eye patch I wear, so I have no comparison with it. But I think it's well designed, very comfortable and doesn't look too silly. Get ready to hear lots of pirate jokes when you wear it in public. You might even consider changing your name to "matey" or "arrrgh". One of the other reviewers suggested that the small patch is probably big enough for almost everyone. I took that advice and it worked for me and I have a pretty big head.
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