Adverse response to prism therapy in strabismus

Area of Science:

• Ophthalmology
• Vision Science

Background:

• Strabismus is a common condition affecting eye alignment.
• Prism therapy is a recognized treatment modality for certain types of strabismus.

Observation:

• A review of current literature on prism therapy for strabismus was conducted.
• A specific case of esotropia (inward eye turn) treated with prism neutralization is presented.

Findings:

• The esotropic patient experienced a significant increase in the angle of squint after prism therapy aimed at sensory orthotropia.
• This indicates a potential adverse effect of prism therapy in some strabismus cases.

Implications:

• The findings highlight the need for careful monitoring during prism therapy.
• Suggested guidelines aim to mitigate the risk of increased squint angle, improving patient outcomes.
• Further research into optimizing prism therapy protocols is warranted.