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Prism spectacles with a single prism perform a relative displacement of the two eyes, thereby correcting eso-, exo, hyper- or hypotropia. In contrast, spectacles with prisms of equal power for both eyes, called yoked prisms (also: conjugate prisms, ambient lenses or performance glasses) shift the visual field of both eyes to the same extent. [5]
Yoked prism can move the image away from primary gaze without the need for a constant head tilt or turn. [1] Prism correction is measured in prism dioptres. 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.
Lensmeters can also verify the power of contact lenses, if a special lens support is used. The parameters appraised by a lensmeter are the values specified by an ophthalmologist or optometrist on the patient's prescription: sphere, cylinder, axis, add, and in some cases, prism.
Prescriptions for contact lenses and glasses may be similar but are not interchangeable. Prescribing of contact lenses is usually restricted to various combinations of ophthalmologists, optometrists and opticians. An eye examination is needed to determine an individual's suitability for contact lens wear.
A prescription of −1.00 +0.25 × 180 describes a lens that has a horizontal power of −1.00 D and a vertical power of −0.75 D. Only ophthalmologists write prescriptions in + cylinder. An optometrist would write a prescription in - (minus) cylinder. All spectacle and contact lenses would be made in minus cylinder.
While the doublet prism is the simplest compound prism type, the double-Amici prism is much more common. This prism is a three-element system (a triplet), in which the first and third elements share both the same glass and the same apex angles. The design layout is thus symmetric about the plane passing through the center of its second element.