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The Krimsky test is essentially the Hirschberg test, but with prisms employed to quantitate deviation of ocular misalignment by determining how much prism is required to centre the reflex. [2] The Krimsky test is advisably used for patients with tropias, but not with phorias.
Dunlop test [1] Harris Filters [1] ... Optim-Eyes [6] Prism glasses [2] Tinted lenses, ChromaGen lenses [1] [5] [6] Visual Tracking Magnifier [1] Emerging therapies.
Prism correction is commonly specified in prism dioptres, a unit of angular measurement that is loosely related to the dioptre. Prism dioptres are represented by the Greek symbol delta (Δ) in superscript. A prism of power 1 Δ would produce 1 unit of displacement for an object held 100 units from the prism. [2]
The prism can be mounted in a frame with a handle attached; Test can be performed at any fixation distance - near or far; Results of the test can be checked/confirmed using Bagolini glasses, W4LT (macular torch) or Synoptophore; Post-strabismus surgery aim at times, can use in post-op review
To perform the test you will need Bagolini Striated Glasses; Pen torch or a distant light source. Alternatively, trial frames and lenses or a lorgnette can be used. In some cases, the use of prisms is necessary to measure a deviation and test for the presence of binocular functions.
For a more severe misalignment, or if a person cannot tolerate prism glasses, a doctor may offer surgery to reposition one or both eyes. “These surgeries, which are done by strabismus surgeons ...