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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 and Base Prism refers to a displacement of the image through the lens, often used to treat strabismus and other binocular vision disorders. The prism value is measured in prism diopters , and Base refers to the direction of displacement.
During prism adaptation, an individual wears special prismatic goggles that are made of prism wedges that displace the visual field laterally or vertically. In most cases the visual field is shifted laterally either in the rightward or leftward direction.
To perform the test you will need. Bagolini Striated Glasses. Pen torch or a distant light source. Alternatively, trial frames and lenses or a lorgnette can be used. In some cases, the use of prisms is necessary to measure a deviation and test for the presence of binocular functions.
Not all optical prisms are geometric prisms, and not all geometric prisms would count as an optical prism. Prisms can be made from any material that is transparent to the wavelengths for which they are designed. Typical materials include glass, acrylic and fluorite .
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.