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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.
The optical quality of the eye is limited by optical aberrations, diffraction and scatter. [1] Correction of spherocylindrical refractive errors has been possible for nearly two centuries following Airy's development of methods to measure and correct ocular astigmatism.
The prism cover test ( PCT) is an objective measurement and the gold standard in measuring strabismus, i.e. ocular misalignment, or a deviation of the eye. [1] It is used by ophthalmologists and orthoptists in order to measure the vertical and horizontal deviation and includes both manifest and latent components. [1]
A corrective lens is a transmissive optical device that is worn on the eye to improve visual perception. The most common use is to treat refractive errors: myopia, hypermetropia, astigmatism, and presbyopia. Glasses or "spectacles" are worn on the face a short distance in front of the eye.
The amount of aberration due to astigmatism is proportional to the square of the angle between the rays from the object and the optical axis of the system. With care, an optical system can be designed to reduce or eliminate astigmatism. Such systems are called anastigmats .
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.
The movements of the eye are controlled by six muscles attached to each eye, and allow the eye to elevate, depress, converge, diverge and roll. These muscles are both controlled voluntarily and involuntarily to track objects and correct for simultaneous head movements.
In young humans, the average visual acuity of a healthy, emmetropic eye (or ametropic eye with correction) is approximately 6/5 to 6/4, so it is inaccurate to refer to 6/6 visual acuity as "perfect" vision. On the contrary, Tscherning writes, "We have found also that the best eyes have a visual acuity which approaches 2, and we can be almost ...
When humans accommodate to a near object, they also converge their eyes and constrict their pupils. The combination of these three movements (accommodation, convergence and miosis) is under the control of the Edinger-Westphal nucleus and is referred to as the near triad, or accommodation reflex.
Since the Howard-Dolman test described above is cumbersome, stereoacuity is usually measured using a stereogram in which separate panels are shown to each eye by superimposing them in a stereoscope using prisms or goggles with color or polarizing filters or alternating occlusion.