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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. 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 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.
When measuring horizontal fusion ranges, base in prisms assess fusional divergence while base out prisms assess fusional convergence. The vertical fusional vergence amplitude can also be measured with base up and base down prisms although the horizontal PFR is typically the main focus when testing.
The major components of the phoropter are the battery of spherical and cylindrical lenses, auxiliary devices such as Maddox rods, filtered lenses, prisms, and the JCC (Jackson cross cylinder) used for astigmatism measurement. The prismatic lenses are used to analyze binocular vision and treat orthoptic problems.
The best reading glasses require great lenses, affordability, and durability. Here, experts explain what to find in a pair, and reviewers recommend their faves.
Observers with a fixation disparity are more likely to report eye strain in demanding visual tasks; therefore, tests of fixation disparity belong to the diagnostic tools used by eye care professionals: remediation includes vision therapy, prism eye glasses, or visual ergonomics at the workplace.