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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.
Diplopia is the simultaneous perception of two images of a single object that may be displaced horizontally or vertically in relation to each other. [1] Also called double vision, it is a loss of visual focus under regular conditions, and is often voluntary.
For mild conditions, prism glasses can be prescribed to correct specific types of double vision. [5] In more extreme cases, additional intervention such as botulinum toxin injection and strabismus surgery, might be required to rebalance the actions of the extraocular muscles. [5]
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 cosmetic defect.
Even when the double vision images are made to nearly overlap using optical means such as prisms, the irregular movements prevent binocular fusion. The name horror fusionis (Latin phrase literally meaning "fear of fusion") arises from the notion that the brain is, or at least appears to be, actively preventing binocular fusion.
Eyecare professionals (optometrists and ophthalmologists) are trained to determine the specific corrective lenses that will provide the clearest, most comfortable, and most efficient vision, avoiding double vision and maximizing binocularity.