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The design based on the eyeglasses frame provides for a split field of vision: the central field through the lenses, providing a vertical view to the climber; the peripheral field around the sides of the lenses, allowing the belayer to remain aware of their surroundings.
If there is little or no vertical separation, vertical prism can be used to separate the lines. The patient is asked if one or both lines are tilted. The lines can be straightened subjectively by rotating the glasses in the trial frame and the degree of cyclotropia recorded.
Prism correction. Prism lenses (here unusually thick) are used for pre-operative prism adaptation. Eye care professionals use prism correction as a component of some eyeglass prescriptions. A lens which includes some amount of prism correction will displace the viewed image horizontally, vertically, or a combination of both directions.
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]
Maddox rods are placed into the trial frames, one before each eye; Cylinders are placed into trial frame vertically, making the two red lines horizontal; 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 prism value is measured in prism diopters, and Base refers to the direction of displacement. PL is an abbreviation for plano or plain, meaning no prescription PD or IPD Pupillary Distance or Interpupillary Distance, respectively.