At first, we do a complete eye examination in which we Evaluate eye health, eye movement, and coordination, Refraction and understanding the problem to determine the cause of diplopia.

In our approach we determine if diplopia is due to refractive errors, eye muscle imbalance (strabismus), neurological issues, or other underlying conditions.

If diplopia is related to eye muscle imbalance, prism glasses can be prescribed to align the images seen by each eye.

 Prism glasses are a common and effective way to correct diplopia or double vision. Diplopia can occur when the eyes are not properly aligned, leading to two separate images. Prism glasses work by altering the way light enters the eyes, helping to bring the images into a single, unified image.

Here’s how prism glasses work for diplopia correction:

Changing the Path of Light:

Prisms are added to the lenses of glasses, altering the path of light entering the eyes.

The prisms help to redirect the light so that the two images are brought closer together, allowing the brain to fuse them into a single image.

Correcting Eye Alignment:

Prism glasses are prescribed based on the specific misalignment of the eyes.

The amount and direction of prism correction are determined through a thorough eye examination, which may involve assessing the degree of misalignment and how the eyes work together.

Providing Comfortable Vision:

The goal is to provide the patient with comfortable and single binocular vision, reducing or eliminating the double vision.

The prescription may need to be adjusted during follow-up appointments to ensure optimal correction.

It’s important to note that prism glasses are a management tool ,in our practice if there is an underlying eye condition or health issue we try to manage that also. In some cases, additional treatment or vision  therapy may be recommended.

Depending upon the case and condition of the patient the different types of Prism Glasses that can be prescribed to the patient are:

Ground-In Prisms: These are directly incorporated into the lenses during the lens manufacturing process.

Fresnel Prisms or On Prisms:  These are thin, flexible, stick-on prisms that can be added to lenses.

Vision therapy involves exercises and activities to improve eye coordination and strengthen eye muscles. Useful for cases of strabismus or convergence insufficiency.

Addressing any underlying health conditions contributing to diplopia, such as diabetes, hypertension, or neurological disorders.

Regularly monitoring progress and make necessary adjustments to prism glasses or other treatments if needed.