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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]
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.
An optical prism is a transparent optical element with flat, polished surfaces that are designed to refract light. At least one surface must be angled — elements with two parallel surfaces are not prisms. The most familiar type of optical prism is the triangular prism, which has a triangular base and rectangular sides.
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.
Sample prescription. A prescription of −1.00 +0.25 × 180 describes a lens that has a horizontal power of −1.00 D and a vertical power of −0.75 D. Only ophthalmologists write prescriptions in + cylinder. An optometrist would write a prescription in - (minus) cylinder.
If there is little or no vertical separation, vertical prism can be used to separate the lines. The patient is asked if one or both lines are tilted. The lines can be straightened subjectively by rotating the glasses in the trial frame and the degree of cyclotropia recorded.
An alternative technique with the phoropter requires the use of a "clock dial" or "sunburst" chart to determine the astigmatic axis and power. Astigmatism may be corrected with eyeglasses, contact lenses, or refractive surgery.
Fig. 3: Fixation disparity as a function of the forced vergence angle which is induced by base-in prisms and base-out prisms in front of the eyes. These prism FD-curves have widely been used for subjective fixation disparity and the clinical implications are described below.
A Fresnel lens ( / ˈfreɪnɛl, - nəl / FRAY-nel, -nəl; / ˈfrɛnɛl, - əl / FREN-el, -əl; or / freɪˈnɛl / fray-NEL [1]) is a type of composite compact lens which reduces the amount of material required compared to a conventional lens by dividing the lens into a set of concentric annular sections.
The Rochon and Sénarmont prisms are similar, but use different optical axis orientations in the two prisms. The Sénarmont prism is air spaced, unlike the Wollaston and Rochon prisms. These prisms truly split the beam into two fully polarized beams with perpendicular polarizations.