J.ophthalmol.(Ukraine).2020;4:69-76.

http://doi.org/10.31288/oftalmolzh202046976

Received: 24 April 2020; Published on-line: 27 August 2020


Use of prisms in ophthalmology: a review

Part 1. The use of prisms in strabismus: historical background, methodologies and their outcomes

V.I. Serdiuchenko

SI "The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine"; Odesa (Ukraine)

E-mail: virais@ukr.net

TO CITE THIS ARTICLE: Serdiuchenko VI. Use of prisms in ophthalmology: a review. Part 1. The use of prisms in strabismus: historical background, methodologies and their outcomes. J.ophthalmol.(Ukraine).2020;4:69-76. http://doi.org/10.31288/oftalmolzh202046976


The paper points to the principle of prisms: if a prism is placed in front of the strabismic eye, images of objects impinging upon the peripheral retina are projected to the central pit, which creates optimal conditions for cooperation of both eyes and facilitates binocular vision. In strabismic eyes, prisms are used for the following purposes: measuring the angle of strabismus; determining if binocular vision or suppression scotoma is present; obtaining sensorial orthophoria with prisms and developing binocular vision; compensating for diplopia and correcting forced head rotation in paralytic strabismus; determining the maximum deviation and the amount of surgery when preparing a patient for surgery; and diploptic treatment of strabismus. The review is related also to the literature of the last fifty years on the outcomes of treating strabismic patients with Fresnel prisms. In particular, the paper presents the advantages of modified Fresnel prisms developed in Ukraine and the outcomes of treating strabismic patients with these prisms.

Keywords: prisms, strabismus, diplopia, diagnosis, treatment

 

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The authors certify that they have no conflicts of interest in the subject matter or materials discussed in this manuscript.