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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 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. It is used by ophthalmologists and orthoptists in order to measure the vertical and horizontal deviation and includes both manifest and latent components. [1]
The parameters specified on spectacle prescriptions vary, but typically include the patient's name, power of the lenses, any prism to be included, the pupillary distance, expiration date, and the prescriber's signature.
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 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.
Subjective refraction. (Top) 0.50 confirmation set; (Middle) trial lens box, including pinhole and occluder; (Bottom) Snellen chart. Subjective Refraction is a technique to determine the combination of lenses that will provide the best corrected visual acuity (BCVA). [1] It is a clinical examination used by orthoptists, optometrists and ...
In the fields of optometry and ophthalmology, the Hirschberg test, also Hirschberg corneal reflex test, is a screening test that can be used to assess whether a person has strabismus (ocular misalignment). A photographic version of the Hirschberg is used to quantify strabismus.
The prism fusion range (PFR) or fusional vergence amplitude is a clinical eye test performed by orthoptists, optometrists, and ophthalmologists to assess motor fusion, specifically the extent to which a patient can maintain binocular single vision in the presence of increasing vergence demands.
Conjugate eye movement refers to motor coordination of the eyes that allows for bilateral fixation on a single object. A conjugate eye movement is a movement of both eyes in the same direction to maintain binocular gaze (also referred to as “yoked” eye movement).
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.