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The Four Prism Dioptre Reflex Test (also known as the 4 PRT, or 4 Prism Dioptre Base-out Test) is an objective, non-dissociative test used to prove the alignment of both eyes (i.e. the presence of binocular single vision) by assessing motor fusion. [1]
The Maddox rod test is a subjective method to measure horizontal and vertical deviations of the eyes, using a red line and a white light. The double Maddox rod test can also assess torsion and cyclotropias, by comparing the angles of two red lines.
During an eye examination, the presence of suppression and the size and location of the suppression scotoma may be the Worth 4 dot test (a subjective test that is considered to be the most precise suppression test), or with other subjective tests such as the Bagolini striated lens test, or with objective tests such as the 4 prism base out test.
Esotropia is a condition in which one or both eyes deviate inward, causing a cross-eyed appearance. It can be constant or intermittent, and has different types and causes, such as hyperopia, congenital, or accommodative factors.
"They'll say, 'contract your pelvic floor muscles, so act like you're pushing stool out or act like you're peeing,'" she says. "And they can measure how strong the pelvic floor is."
From left to right: an accommodative fixation stick, a vertical prism bar, and a horizontal prism bar. The PFR involves placing a prism bar in front of an eye. In a patient with BSV, a natural shift of the eye occurs. When measuring horizontal fusion ranges, base in prisms assess fusional divergence while base out prisms assess fusional ...
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The prism cover test (PCT) is an objective method to measure ocular misalignment or deviation of the eye. It involves using prism bars, occluder, and targets to neutralise the deviation and record the angle and base of the prism.