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A fixation disparity is not constant within a certain observer, but can vary depending on the viewing conditions. If test prisms with increasing amount are placed in front of the observer’s eyes, the fixation disparity changes in the eso direction with base-in prisms and in the exo direction with base-out prisms (Fig. 3).
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 ]
The distance the test was performed - whether it was at near (1/3m) or distance (6m) Whether the test was performed with/without glasses; Whether the test was performed with/without a compensatory head posture; In a poorly controlled phoria recovery may not occur and the deviation will be manifest - make a note of this also; Examples of a cover ...
Yoked prism can move the image away from primary gaze without the need for a constant head tilt or turn. [1] Prism correction is measured in prism dioptres. A prescription that specifies prism correction will also specify the "base". The base is the thickest part of the lens and is opposite from the apex.
The strength of the prism is increased until the streak of the light passes through the centre of the prism, as the strength of the prism indicates the amount of deviation present. The Maddox rod is a handheld instrument composed of red parallel plano convex cylinder lens , which refracts light rays so that a point source of light is seen as a ...
Some cases of convergence insufficiency are successfully managed by prescription of eyeglasses, sometimes with therapeutic prisms. Pencil push-ups therapy is performed at home. The patient brings a pencil slowly to within 2–3 cm (0.79–1.18 in) of the eye just above the nose about fifteen minutes per day five times per week.
The patient is asked to fixate on a target while the examiner places a 4 prism dioptre base-out prism over the patient's eye, observing the response of the fellow eye. [ 1 ] The target is a single isolated distance target of approximately 1-2 lines better than best corrected acuity at distance.
Cover test may be used to determine direction of deviation in cyclophorias also. [19] The cover-uncover test can also be used for more problematic disorders of binocular vision, the tropias. In the cover part of the test, the examiner looks at the first eye as he or she covers the second. If the eye moves from in to out, the person has exotropia.