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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.
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.
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.
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.
The film is typically applied to the eye with the good muscle control of direction. Diplopia (also known as double vision) is typically caused by a sixth cranial nerve palsy that prevents full control of the muscles that control the direction the eye is pointed in.
Prisms or "field expanders" that bend light have been prescribed for decades in patients with hemianopsia. 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.
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