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The most common application for this is the treatment of strabismus. By moving the image in front of the deviated eye, double vision can be avoided and comfortable binocular vision can be achieved. Other applications include yoked prism where the image is shifted an equal amount in each eye.
Neurology, ophthalmology. Diplopia is the simultaneous perception of two images of a single object that may be displaced horizontally or vertically in relation to each other. [1] Also called double vision, it is a loss of visual focus under regular conditions, and is often voluntary.
Double Porro prism or Porro 1 optical system. A double Porro prism system reflects light four times. Porro prisms are most often used in pairs, forming a double Porro prism. A second prism rotated 90° with respect to the first, is placed such that light will traverse both prisms.
For mild conditions, prism glasses can be prescribed to correct specific types of double vision. [5] In more extreme cases, additional intervention such as botulinum toxin injection and strabismus surgery, might be required to rebalance the actions of the extraocular muscles. [5]
Also, plastic prisms (Fresnel prisms) can be attached to eyeglasses of a diplopic patient, allowing for alignment of vision from both eyes in the affected direction, but are often problematic if the degree of muscle weakness, and therefore ocular misalignment, fluctuates frequently.
Treatment of the double vision depends on both the type of double vision and the ability of two eyes to work together, also called binocular function. [12] Diplopia with normal binocular function is treated with prism glasses, botulinum injections into the muscles, or repeated surgery. [12]
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