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Horror fusionis is a rare condition and normally appears only in patients who have been treated by means of surgery or other interventions. Attempts to achieve stereoscopic vision, in particular anti-suppression therapy and other orthoptic exercises, may lead to double vision as undesired side effect, in particular also to horror fusionis.
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.
In order to address this problem the double-K method was developed, which uses the pre-LASIK corneal power for the calculation of the ELP, and the post-LASIK corneal power for the calculation of the Vergence component of the formula.
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.
Anisometropia is caused by common refractive errors, such as astigmatism, far-sightedness, and myopia, in one eye. [6] Anisometropia is likely the result of both genetic and environmental influences. [7] Some studies suggest, in older adults, developing asymmetric cataracts may cause worsen anisometropia.
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.
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