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Esophoria is an eye condition involving inward deviation of the eye, usually due to extra-ocular muscle imbalance. It is a type of heterophoria. Cause. Causes include: Refractive errors; Divergence insufficiency; Convergence excess; this can be due to nerve, muscle, congenital or mechanical anomalies.
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.
By shifting corrective lenses off axis, images seen through them can be displaced in the same way that a prism displaces images. Eye care professionals use prisms, as well as lenses off axis, to treat various orthoptics problems:
If the patient saw a red line to the right and white light to the left, they are said to have esotropia or esophoria (uncrossed diplopia) in which base out (BO) prisms of increasing strength are used until the lines are superimposed.
It can be used to establish whether a patient has the ability for the eyes to fuse the light that is received from each eye into 4 lights. The test is indicated with the use of a presence of a prism in individuals with a strabismus and fusion is considered present if 4 lights are maintained, with or without the use of a prism. The W4LT can also ...
In such cases an additional hyperopic correction is often prescribed in the form of bifocal lenses, to reduce the degree of accommodation, and hence convergence, being exerted. Many children will gradually learn to control their esotropias, sometimes with the help of orthoptic exercises.
The formula for vertex correction is = (), where F c is the power corrected for vertex distance, F is the original lens power, and x is the change in vertex distance in meters.
The lens is to the left. Correction. In lens systems, aberrations can be minimized using combinations of convex and concave lenses, or by using aspheric lenses or aplanatic lenses. Lens systems with aberration correction are usually designed by numerical ray tracing. For simple designs, one can sometimes analytically calculate parameters that ...
Heterophoria is the misalignment of the visual axis such that one or both eyes are not properly fixated to an object of interest. When the visual axis is misaligned in such a way, it is corrected by the fusional vergence system. Diagnosis. The cross-cover test, or alternating cover test is usually employed to detect heterophoria.
The latter prism needed to reduce the fixation disparity to zero is referred to as aligning prism (earlier called associated phoria). Instrumentations as the Disparometer, the Mallett-unit, or the Wesson Card differ in the type of fusion target: some use small central fixation letters, others use more peripheral fusion targets.
