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You are here: Forum Home > Students > PRPTalk > prism, accommodation  

Author Subject: prism, accommodation
Author manderson prism, accommodation
Nov 20, 2006 16:44:23

Hi does anyone know how how you split prism which is to be dispensed, apart from just splitting it equally between the two eyes or deciding what looks cosmetically better - does ocular dominance come into this at all?

Also what can lead to a difference in the amplitude of accommodation between two eyes?


Author Stephen Meynell RE: prism, accommodation
Nov 30, 2006 21:19:59

prism splitting is just done for cosmesis and frame practical reasons. Ocular dominance does not come into this.

A difference in AoA between the eyes would suggest a reduction in ciliary innervation.(III nerve)

It could also occur in Tonic pupil and anisocoria, accidental instilation of a substance that has anti muscarinic action. It can also happen in anisometropia