Effective prism diopter for strabismus measurement: Conversion from anterior Prentice position to posterior parallel position and from glass prism to acrylic prism

Purpose: In clinical ophthalmology, prisms, commonly made of glass, are labeled based on the prism diopter (PD) value measured in the anterior Prentice position. However, they are often used in the posterior parallel position for practicality, causing a discrepancy between labeled and effective PD....

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Main Authors: Leilei Zou, Hong Liu, Shu Wang, Tian Tian, Cheng Fang, Gang Luo, Rui Liu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-02-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/IJO.IJO_1113_24
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author Leilei Zou
Hong Liu
Shu Wang
Tian Tian
Cheng Fang
Gang Luo
Rui Liu
author_facet Leilei Zou
Hong Liu
Shu Wang
Tian Tian
Cheng Fang
Gang Luo
Rui Liu
author_sort Leilei Zou
collection DOAJ
description Purpose: In clinical ophthalmology, prisms, commonly made of glass, are labeled based on the prism diopter (PD) value measured in the anterior Prentice position. However, they are often used in the posterior parallel position for practicality, causing a discrepancy between labeled and effective PD. This study proposes a conversion tool to address this issue. Methods: Geometric optical analysis was employed to calculate the effective PD of glass prisms in the posterior parallel position. A lookup table was created to convert the labeled PD of the anterior Prentice position to the effective PD when the prism is used in the posterior parallel position. Clinical data from 162 patients with horizontal strabismus were collected to validate the method. Glass prism measurements, converted to effective PD, were compared with acrylic prism results. Results: The variations were significant in glass prism PD with rotation in the anterior Prentice position but stability in the posterior parallel position. Clinical deviations were larger with glass prisms, especially exceeding 30 PD, compared with acrylic prisms. Converted PD from glass prisms correlated well with acrylic prisms (R2 = 0.94, P = 0.002). The half-width of the 95% limit of agreement was ±12.32 PD. Conclusion: The proposed conversion table is valid, facilitating consistency between clinical and literature-based prism use in different positions and materials.
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1998-3689
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publishDate 2025-02-01
publisher Wolters Kluwer Medknow Publications
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series Indian Journal of Ophthalmology
spelling doaj-art-abc8af202ebf4f79a54475a7369a82402025-02-06T05:39:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-02-0173229730210.4103/IJO.IJO_1113_24Effective prism diopter for strabismus measurement: Conversion from anterior Prentice position to posterior parallel position and from glass prism to acrylic prismLeilei ZouHong LiuShu WangTian TianCheng FangGang LuoRui LiuPurpose: In clinical ophthalmology, prisms, commonly made of glass, are labeled based on the prism diopter (PD) value measured in the anterior Prentice position. However, they are often used in the posterior parallel position for practicality, causing a discrepancy between labeled and effective PD. This study proposes a conversion tool to address this issue. Methods: Geometric optical analysis was employed to calculate the effective PD of glass prisms in the posterior parallel position. A lookup table was created to convert the labeled PD of the anterior Prentice position to the effective PD when the prism is used in the posterior parallel position. Clinical data from 162 patients with horizontal strabismus were collected to validate the method. Glass prism measurements, converted to effective PD, were compared with acrylic prism results. Results: The variations were significant in glass prism PD with rotation in the anterior Prentice position but stability in the posterior parallel position. Clinical deviations were larger with glass prisms, especially exceeding 30 PD, compared with acrylic prisms. Converted PD from glass prisms correlated well with acrylic prisms (R2 = 0.94, P = 0.002). The half-width of the 95% limit of agreement was ±12.32 PD. Conclusion: The proposed conversion table is valid, facilitating consistency between clinical and literature-based prism use in different positions and materials.https://journals.lww.com/10.4103/IJO.IJO_1113_24acrylic prismeffective prism diopterglass prismprism calibrationstrabismus measurement
spellingShingle Leilei Zou
Hong Liu
Shu Wang
Tian Tian
Cheng Fang
Gang Luo
Rui Liu
Effective prism diopter for strabismus measurement: Conversion from anterior Prentice position to posterior parallel position and from glass prism to acrylic prism
Indian Journal of Ophthalmology
acrylic prism
effective prism diopter
glass prism
prism calibration
strabismus measurement
title Effective prism diopter for strabismus measurement: Conversion from anterior Prentice position to posterior parallel position and from glass prism to acrylic prism
title_full Effective prism diopter for strabismus measurement: Conversion from anterior Prentice position to posterior parallel position and from glass prism to acrylic prism
title_fullStr Effective prism diopter for strabismus measurement: Conversion from anterior Prentice position to posterior parallel position and from glass prism to acrylic prism
title_full_unstemmed Effective prism diopter for strabismus measurement: Conversion from anterior Prentice position to posterior parallel position and from glass prism to acrylic prism
title_short Effective prism diopter for strabismus measurement: Conversion from anterior Prentice position to posterior parallel position and from glass prism to acrylic prism
title_sort effective prism diopter for strabismus measurement conversion from anterior prentice position to posterior parallel position and from glass prism to acrylic prism
topic acrylic prism
effective prism diopter
glass prism
prism calibration
strabismus measurement
url https://journals.lww.com/10.4103/IJO.IJO_1113_24
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