Prism Flashcards
Prism Diopter
Unit that describes the power of a prism to produce a 1 cm deviation in a ray of light at a distance of 1 meter.
Effect of too much Base down prism
Causes Vertical objects to appear taller than they are. Walking straight feels like walking up hill.
Horizontal Prism
- Hortizontal prism can be either Base-in or Base-out.
- Equal amount must be prescribed for each eye
- Horizontal prism can’t be greater than a total of -/+ .67 prism diopters for the two lens combined.
Vertical prism
Vertical prism can be either Base-up or Base-down
Must be prescribed equally in each eye
Induced vertical prism cannot be greater than -/+ .33 prism diopters for the two lens combined
Effect of too much Base-up prism
Perceive vertical objects as shorter than they are. Feels like walking downhill
Effect of too much Base-in and Base-out Prism
View horizontal lines as curved
Direction light bends in a prism
Light bends towards the base of a prism.
Image person sees moves in the opposite direction from the base . Retina flips the image.
Prentice’s Rule
Formula to determine the amount of induced prism. How to determine how powerful induced prism is.
Prism= F x d(in centimeters)
F= power of lens d= decentration distance in cm
Prentice’s Rule states-
The power of the prism is equal to the power of the lens in Diopters, times the amount of decentration in mm, divided by 10
Prism= F x dec(mm)
__________
10
Hypotropia
Eye turns down. Type of Strabism.
Esotropia
Eye turns inward. Type of Strabism.
Exotropia
Eye turns outward. Type of Strabism.
Amblyopia
When eyes cannot work together. Results in lazy eye.
Brain cannot process 2 differently sized images from each eye.
Occationally/coninuously shuts off image from eye.
Hypertropia
Eye turns upward. Type of Strabism.
Slab off Prism
To correct the client from seeing double from a vertical imbalance. slab off is always done on the most minus or least plus lens. It provides base-up prism.