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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).
Exophoria is a form of heterophoria in which there is a tendency of the eyes to deviate outward. [1] During examination, when the eyes are dissociated, the visual axes will appear to diverge away from one another. [2] The axis deviation in exophoria is usually mild compared with that of exotropia.
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 ...
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 prism fusion range (PFR) or fusional vergence amplitude is a clinical eye test performed by orthoptists, optometrists, and ophthalmologists to assess motor fusion, specifically the extent to which a patient can maintain binocular single vision in the presence of increasing vergence demands.
A prism of power 1 Δ would produce 1 unit of displacement for an object held 100 units from the prism. [2] Thus a prism of 1 Δ would produce 1 cm visible displacement at 100 cm, or 1 metre. This can be represented mathematically as: = where is the amount of prism correction in prism dioptres, and is the angle of deviation of the light.
This condition can be esophoria, where the eyes tend to cross inward in the absence of fusion; exophoria, in which they diverge; hyperphoria, in which one eye points up or down relative to the other; or cyclophoria, in which one eye is rotated differently around its line of sight from that of the other.
Prism spectacles with a single prism perform a relative displacement of the two eyes, thereby correcting eso-, exo, hyper- or hypotropia. In contrast, spectacles with prisms of equal power for both eyes, called yoked prisms (also: conjugate prisms, ambient lenses or performance glasses) shift the visual field of both eyes to the same extent. [5]