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The Four Prism Dioptre Reflex Test (also known as the 4 PRT, or 4 Prism Dioptre Base-out Test) is an objective, non-dissociative test used to prove the alignment of both eyes (i.e. the presence of binocular single vision) by assessing motor fusion.
The base is the thickest part of the lens and is opposite from the apex. Light will be bent towards the base and the image will be shifted towards the apex. In an eyeglass prescription, the base is typically specified as up, down, in, or out, but left and right are also used sometimes.
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.
Prism and Base Prism refers to a displacement of the image through the lens, often used to treat strabismus and other binocular vision disorders. The prism value is measured in prism diopters , and Base refers to the direction of displacement.
Vertical prism ( base-up, or base-down) can also be added into the trial frames to separate the two red lines (This avoids confusion if the patients claim that they only see one red line). The degree of deviation and the direction (incyclo or excyclo) can be determined by the angle of rotation that causes the line images to appear horizontal ...
When measuring horizontal fusion ranges, base in prisms assess fusional divergence while base out prisms assess fusional convergence. The vertical fusional vergence amplitude can also be measured with base up and base down prisms although the horizontal PFR is typically the main focus when testing.
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]
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Porro prism binoculars were made in such a way to erect an image in a relatively small space, thus binoculars using prisms started in this way. Porro prisms require typically within 10 arcminutes (1 / 6 of 1 degree) tolerances for alignment of their optical elements (collimation) at the factory.
This prism is a three-element system (a triplet), in which the first and third elements share both the same glass and the same apex angles. The design layout is thus symmetric about the plane passing through the center of its second element.