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00074_Field_74.txt
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1997-10-28
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831b
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CYLINDRICAL PRISM STABILIZED LENSES
Spherical hydrogel lenses do not correct the spectacle astigmatism. If a patient has significant astigmatism, usually over 0.75 D, if it is to be corrected with hydrogel lenses a toric lens is required.
If cylinder is generated in the lens, the lens
must not rotate on the eye in order to keep
the cylinder in the proper axis. One way to
prevent this rotation is to put prism in the
lens. Due to the thin apex as compared to
the thicker base, the rotation of the lens is
minimized. The force of the upper lid against
the thicker edges of the lens keeps the thin
apex superiorly.
The amount of prism used is in the range of 1.0
to 1.5 (the is the symbol for prism diopter).
The prism adds thickness to the lens which can
cause corneal edema.