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The prism cover test (PCT) is an objective measurement and the gold standard in measuring strabismus, i.e. ocular misalignment, or a deviation of the eye. It is used by ophthalmologists and orthoptists in order to measure the vertical and horizontal deviation and includes both manifest and latent components. [1]
Through this test, suppression, microtropia, diplopia and manifest deviations can be noted. However this test should always be used in conjunction with other clinical tests, such as Worth 4 dot test, Cover test, Prism cover test and Maddox rod to come to a diagnosis.
Correction of refractive errors by glasses; Prism therapy (if tolerated, to manage diplopia) Vision Therapy; Patching (mainly to manage amblyopia in children and diplopia in adults) Botulinum toxin injection; Surgical correction; Surgical correction of the hypertropia is desired to achieve binocularity, manage diplopia and/or correct the ...
- 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.
Prism dioptres. Prism correction is commonly specified in prism dioptres, a unit of angular measurement that is loosely related to the dioptre. Prism dioptres are represented by the Greek symbol delta (Δ) in superscript. A prism of power 1 Δ would produce 1 unit of displacement for an object held 100 units from the prism. [2]
Prism lenses set to make minor optical changes in the vertical alignment may be prescribed instead of or after surgery to fine-tune the correction. Prism lenses do not address torsional misalignment and this may limit their use in certain cases.
Cyclotropia can be detected using subjective tests such as the Maddox rod test, the Bagolini striated lens test, the phase difference haploscope of Aulhorn, or the Lancaster red-green test (LRGT). Among these, the LRGT is the most complete. Cyclotropia can also be diagnosed using a combination of subjective and objective tests.
Esotropia (eyes crossed); exotropia (eyes diverge); hypertropia (eyes vertically misaligned) Causes: Muscle dysfunction, farsightedness, problems in the brain, trauma, infections: Risk factors: Premature birth, cerebral palsy, family history: Diagnostic method: Observing light reflected from the pupil: Differential diagnosis
Far-sightedness without (top) and with lens correction (bottom) Specialty: Ophthalmology, optometry: Symptoms: Near blur, Distance and near blur, Asthenopia: Complications: Accommodative dysfunction, binocular dysfunction, amblyopia, strabismus: Causes: Axial length of eyeball is too short, lens or cornea is flatter than normal, aphakia: Risk ...
Every corrective lens prescription includes a spherical correction in diopters. Convergent powers are positive (e.g., +4.00 D) and condense light to correct for farsightedness/long-sightedness ( hyperopia ) or allow the patient to read more comfortably (see presbyopia and binocular vision disorders ).