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A swinging-flashlight test may also be desirable if neurologic damage is suspected. The swinging-flashlight test is the most useful clinical test available to a general physician for the assessment of optic nerve anomalies. This test detects the afferent pupil defect, also referred to as the Marcus Gunn pupil. It is conducted in a semidarkened ...
The wedge prism is a prism with a shallow angle between its input and output surfaces. This angle is usually 3 degrees or less. Refraction at the surfaces causes the prism to deflect light by a fixed angle. When viewing a scene through such a prism, objects will appear to be offset by an amount that varies with their distance from the prism.
Strongly tinted sun glasses [24] or contact lenses [25] are often used to decrease luminosity. Red-tinted lenses are very common, but different hues are used to optimize the comfort of the wearer. [26] Achromats often use red filters while driving to help identify traffic lights when position cues are not sufficient. Similar to the operation of ...
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Recumbent or prism glasses are glasses that use a prism with a 90° refraction to allow the wearer to read or view a screen while lying on their back. Developed by Liverpudlian ophthalmologist Andrew McKie Reid in the 1930s to assist people bedbound by chronic illness or spinal injury, recumbent glasses have more recently been marketed not ...
If the residual esotropia is small, or if the patient is unfit or unwilling to have surgery, prisms can be incorporated into their glasses to provide more permanent symptom relief. When the deviation is too large for prismatic correction to be effective, permanent occlusion may be the only option for those unfit or unwilling to have surgery.
An ideal trial frame have minimum 3 cells, one each for holding spherical lens, cylindrical lens and other tools like occluder or pinhole. [4] Angle for axis of astigmatism is marked on outermost visible cell There are knobes to adjust pupillary distance, side angle, height and cylindrical lens axis. [5]
Surgery or special glasses (prisms) may be advised if there is no recovery in 6 to 12 months. If diplopia turns out to be intractable, it can be managed as last resort by obscuring part of the patient's field of view. This approach is outlined in the article on diplopia occurring in association with a condition called horror fusionis.
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