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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]
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.
Invert the sign of cylinder value. Add 90° to axis value, and if the new axis value exceeds 180°, subtract 180° from the result. For example, a lens with a vertical power of −3.75 and a horizontal power of −2.25 could be specified as either −2.25 −1.50 × 180 or −3.75 +1.50 × 090.
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. [1]
Chromatic aberration. In optics, chromatic aberration ( CA ), also called chromatic distortion and spherochromatism, is a failure of a lens to focus all colors to the same point. [1] It is caused by dispersion: the refractive index of the lens elements varies with the wavelength of light.
The glasses are placed in the trial frames with the striations vertical, giving rise to two horizontal line images when viewing a spotlight. If the patient has a vertical deviation, the lines will be seen one above the other. If there is little or no vertical separation, vertical prism can be used to separate the lines.