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The Peli Lens is a mobility aid for people with homonymous hemianopia. It is also known as “EP” or Expansion Prism concept and was developed by Dr. Eli Peli of Schepens Eye Research Institute in 1999. It expands the visual field by 20 degrees.
A Fresnel lens (/ ˈ f r eɪ n ɛ l,-n əl / FRAY-nel, -nəl; / ˈ f r ɛ n ɛ l,-əl / FREN-el, -əl; or / f r eɪ ˈ n ɛ l / fray-NEL) is a type of composite compact lens which reduces the amount of material required compared to a conventional lens by dividing the lens into a set of concentric annular sections.
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.
Also, plastic prisms (Fresnel prisms) can be attached to eyeglasses of a diplopic patient, allowing for alignment of vision from both eyes in the affected direction, but are often problematic if the degree of muscle weakness, and therefore ocular misalignment, fluctuates frequently.
Symptom relief and/or binocular vision maintenance. This is most commonly achieved through the use of Fresnel prisms. These slim flexible plastic prisms can be attached to the patient's glasses, or to plano glasses if the patient has no refractive error, and serve to compensate for the inward misalignment of the affected eye.
In a memoir read in September 1822, Fresnel announced that he had verified Brewster's diagnosis more directly, by compressing a combination of glass prisms so severely that one could actually see a double image through it.
