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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.
Peli Lens. The Peli Lens is a mobility aid for people with homonymous hemianopia. It is also known as “EP” or Expansion Prism concept and was developed by Dr. Eli Peli of Schepens Eye Research Institute in 1999. It expands the visual field by 20 degrees.
A Fresnel lens ( / ˈfreɪnɛl, - nəl / FRAY-nel, -nəl; / ˈfrɛnɛl, - əl / FREN-el, -əl; or / freɪˈnɛl / fray-NEL [1]) is a type of composite compact lens which reduces the amount of material required compared to a conventional lens by dividing the lens into a set of concentric annular sections.
Higher power Fresnel ("stick-on") prisms are commonly employed because they are thin and lightweight, and can be cut and placed in different positions on a spectacle lens. Peripheral prism spectacles expand the visual field of patients with hemifield visual defects and have the potential to improve visual function and mobility. [8]
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. This is useful when someone has a visual field defect on the same side of each eye.
Symptom relief and/or binocular vision maintenance. This is most commonly achieved through the use of Fresnel prisms. These slim flexible plastic prisms can be attached to the patient's glasses, or to plano glasses if the patient has no refractive error, and serve to compensate for the inward misalignment of the affected eye.
