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Prisms in strabismus management past, present, and future

R P Albouy

    Journal of Pediatric Ophthalmology and Strabismus
    |September 1, 1980
    PubMed
    Summary

    Prism therapy for strabismus is complex, often failing due to factors beyond optics. Successful treatment requires addressing sensory, motor, and accommodative elements alongside visual perception.

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    Area of Science:

    • Ophthalmology
    • Optometry
    • Neuroscience

    Background:

    • Prisms possess optical properties suggesting utility in strabismus correction.
    • Previous research indicates numerous unsuccessful attempts at prism therapy (prismotherapy).

    Purpose of the Study:

    • To analyze the complexities and limitations of prism therapy in treating strabismus.
    • To highlight the multifactorial nature of binocular vision disorders.

    Main Methods:

    • Review of existing literature on prism therapy for strabismus.
    • Analysis of optical, sensory, motor, and accommodative factors influencing treatment outcomes.

    Main Results:

    • Prism therapy's effectiveness is limited by factors beyond simple optical correction.
    • Successful strabismus management necessitates a comprehensive approach considering multiple physiological and perceptual elements.

    Conclusions:

    • The application of prisms in strabismus treatment is more intricate than initially presumed.
    • Binocular vision is a complex perceptual act, requiring integrated management of various visual system components for effective therapeutic outcomes.

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