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Related Experiment Video

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Interfacial Molecular-level Structures of Polymers and Biomacromolecules Revealed via Sum Frequency Generation Vibrational Spectroscopy
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Fresnel prism on hess screen test.

Kyung Min Koh1, Ungsoo Samuel Kim

  • 1Department of Ophthalmology, Kim's Eye Hospital, Youngdeungpo 4th 156, Youngdeungpo-gu, Seoul 150-034, Republic of Korea.

Case Reports in Ophthalmological Medicine
|May 28, 2013
PubMed
Summary

This study shows that using a Fresnel prism with the Hess screen test can help diagnose eye movement abnormalities, especially in cases of significant strabismus after surgery.

Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology
  • Strabismus Diagnosis

Background:

  • Diplopia and esotropia can occur post-cataract surgery.
  • Standard Hess screen tests may be inconclusive with large deviations.

Purpose of the Study:

  • To evaluate the utility of the Hess screen test with a Fresnel prism for diagnosing extraocular movement abnormalities.
  • To determine if Fresnel prisms can facilitate the Hess screen test in patients with significant strabismus.

Main Methods:

  • A 65-year-old male with post-cataract surgery diplopia and esotropia underwent a standard Hess screen test.
  • The test was repeated using a 20 prism diopter (PD) base-out Fresnel prism due to initial inconclusive results.
  • Eye movements were assessed for deficits.

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Main Results:

  • The standard Hess screen test indicator was out of bounds, preventing completion.
  • With the Fresnel prism, an abduction deficit was observed in the right eye.
  • The findings suggested right abducens nerve palsy.

Conclusions:

  • Performing the Hess screen test with a Fresnel prism is useful for diagnosing ambiguous extraocular movement abnormalities.
  • Fresnel prisms enable the Hess screen test for strabismus greater than 15 PD.
  • This technique may also benefit the Lancaster screen test.