Prism Correction

Optometrists use prism correction as a component of some eyeglass prescriptions. A lens which includes some amount of prism correction will displace the viewed image horizontally, vertically, or a combination of both directions.

The most common application for this is the treatment of strabismus. By moving the image in front of the deviated eye, double vision can be avoided and comfortable binocular vision can be achieved.

Other applications include yoked prism where the image is shifted an equal amount in each eye. This is useful when someone has a visual field defect on the same side of each eye. Individuals with nystagmus, Duane's retraction syndrome, 4th Nerve Palsy, and other eye movement disorders experience improvement in their symptoms when they turn or tilt their head. Yoked prism can move the image away from primary gaze without the need for a constant head tilt or turn.

Prism correction is measured in prism diopters. 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. Light will be bent towards the base and the image will be shifted towards the apex. In an eyeglass prescription, the base is typically specified as up, down, in, or out, but left and right are also used sometimes. Whether a patient needs this type of correction can be determined by a variety of methods used in a binocular vision evaluation.