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May 1997

Prisms in the Medical and Surgical Management of Strabismus

Author Affiliations

Milwaukee, Wis

Arch Ophthalmol. 1997;115(5):691. doi:10.1001/archopht.1997.01100150693039

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This is a complete reference about the use of prisms for diagnosis, treatment, and assistance in surgical planning and therapy of strabismus. The author, Dr Véronneau-Troutman, is an accomplished practitioner and innovator in the management of motility disorders, particularly in the use of prisms. Her experience is translated in a concise and usable form.

The text begins with a discussion of optical principles and conventions of using and prescribing prisms. Alone, this segment provides a complete review of clinical optics, but as a bonus, there are additional valuable pearls such as the use of prisms in toric contact lenses to provide ballast. A significant portion of the text is devoted to discussing the advantages of Fresnel membrane prisms, their effect on vision, binocularity, care and handling, and their use in motility disorders. As a testament of the versatility of Fresnel prisms in transcending all aspects of ophthalmologic practice, their use

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