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It is a clinical examination used by orthoptists, optometrists and ophthalmologists to determine a patient's need for refractive correction, in the form of glasses or contact lenses. The aim is to improve current unaided vision or vision with current glasses.
Prism spectacles with a single prism perform a relative displacement of the two eyes, thereby correcting eso-, exo, hyper- or hypotropia. In contrast, spectacles with prisms of equal power for both eyes, called yoked prisms (also: conjugate prisms, ambient lenses or performance glasses) shift the visual field of both eyes to the same extent. [5]
Scleral lenses are removed using the fingers, or a small lens removal plunger. Lenses are then cleaned and sanitized before reinsertion. Scleral lenses cannot be worn while sleeping and many wearers sanitize their lenses overnight. Unlike regular contact lenses, many sclerals can be stored dry when unused for longer periods of time.
A Perger prism or Perger–Porro prism system is a prism, that is used to invert (rotate by 180°) an image. The special feature of this prism is that, like a traditional double Porro prism system, it manages this with only four beam deflections and has neither a roof edge with the accompanying phase correction problems, a mirrored surface or ...
This second reflection in the lower prism happens at less than the critical angle, therefore the Schmidt–Pechan prism requires a reflective coating for this surface to be usable in practice. This is unlike other roof prisms, like the Abbe–Koenig prism, which uses total internal reflection on all reflective surfaces.
The prism is also less bulky than the double Porro design. The prism is sometimes simply called a "roof prism", although this is ambiguous, because other roof prisms exist, such as the Amici and Schmidt–Pechan designs. A variant of the Abbe–Koenig prism replaces the "roof" section of the prism with a single mirror-coated reflecting surface.
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