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The Four Prism Dioptre Reflex Test (also known as the 4 PRT, or 4 Prism Dioptre Base-out Test) is an objective, non-dissociative test used to prove the alignment of both eyes (i.e. the presence of binocular single vision) by assessing motor fusion.
The prism base utilised. For example, Base in (BI), Base out (BO), Base up (BU) or Base down (BD). The angle of the deviation with the units in prism dioptres; Which eye is fixating and which eye is deviating; Whether the test was performed with or without an abnormal head posture; Examples of recording
- BD: base down prisms - BU: base up prisms - BO: base out prisms - BI: base in prisms - eso: esotropia - exo: exotropias - L/R: left hypertropia or right hypotropia - R/L: right hypertropia or left hypotropia Double Maddox rod test. The double Maddox rod test can also be used to assess torsion and measure cyclotropias.
This x-intercept is also referred to as aligning prism or – in earlier times – as associated phoria when the subjective nonius method was used (sP 0) the slope of the curve near zero prism load; Fig. 3: Fixation disparity as a function of the forced vergence angle which is induced by base-in prisms and base-out prisms in front of the eyes.
Treatment options for esotropia include glasses to correct refractive errors (see accommodative esotropia below), the use of prisms, orthoptic exercises, or eye muscle surgery. The term is from Greek eso meaning "inward" and trope meaning "a turning".
During an eye examination, the presence of suppression and the size and location of the suppression scotoma may be the Worth 4 dot test (a subjective test that is considered to be the most precise suppression test), or with other subjective tests such as the Bagolini striated lens test, or with objective tests such as the 4 prism base out test.
In this example the first eye, with a −1.00 diopter prescription, is the stronger eye, needing only slight correction to sharpen the image formed, and hence a thin spectacle lens. The second eye, with a −4.00 diopter prescription, is the weaker eye, needing moderate correction to sharpen the image formed, and hence a moderately thick ...
For an abnormal result, based on where the light lands on the cornea, the examiner can detect if there is an exotropia (abnormal eye is turned out), esotropia (abnormal eye is turned in), hypertropia (abnormal eye higher than the normal one) or hypotropia (abnormal eye is lower than the normal one). Interpretation