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The most common application for this is the treatment of strabismus. 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.
Unlike with bifocals, near-vision correction is achieved over the entire field of view, in any direction. Distance vision corrections are made by re-adjusting the lens for distance, instead of by tilting and/or rotating the head to view object through the best part of the lens for the distance.
The provider may prescribe an eye patch to relieve the double vision. The patch can be removed after the nerve heals. Surgery or special glasses (prisms) may be advised if there is no recovery in 6 to 12 months.
The prism value is measured in prism diopters, and Base refers to the direction of displacement. PL is an abbreviation for plano or plain, meaning no prescription; PD or IPD Pupillary Distance or Interpupillary Distance, respectively. It is the distance between pupil centers.
Some cases of convergence insufficiency are successfully managed by prescription of eyeglasses, sometimes with therapeutic prisms. Pencil push-ups therapy is performed at home. The patient brings a pencil slowly to within 2–3 cm (0.79–1.18 in) of the eye just above the nose about fifteen minutes per day five times per week.
The prism fusion range (PFR) or fusional vergence amplitude is a clinical eye test performed by orthoptists, optometrists, and ophthalmologists to assess motor fusion, specifically the extent to which a patient can maintain binocular single vision in the presence of increasing vergence demands.