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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. If diplopia turns out to be intractable, it can be managed as last resort by obscuring part of the patient's field of view.
Stratton wore these glasses over his right eye and covered the left with a patch during the day, and slept blindfolded at night. Initial movement was clumsy, but adjusting to the new environment took only a few days. [59] Stratton tried variations of the experiment over the next few years. First he wore the glasses for eight days, back at Berkeley.
Adjustable-focus eyeglasses might be used to replace bifocals or trifocals, or might be used to produce cheaper single-vision glasses (since they do not have to be custom-manufactured for every person). Pinhole glasses are a type of corrective glasses that do not use a lens. Pinhole glasses do not actually refract the light or change focal length.
Porro prisms are most often used in pairs, forming a double Porro prism. A second prism rotated 90° with respect to the first, is placed such that light will traverse both prisms. The net effect of the prism system is a beam parallel to but displaced from its original direction, with the image rotated 180°.
Ocular motility should always be tested, especially when patients complain of double vision or physicians suspect neurologic disease. First, the doctor should visually assess the eyes for deviations that could result from strabismus , extraocular muscle dysfunction, or palsy of the cranial nerves innervating the extraocular muscles.
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]
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