Reply To: Prism glasses

Home Forums Restricted content Prism glasses Reply To: Prism glasses

David SchwarzDavid Schwarz

I am not an optometrist, but I have extensively worked with people experiencing post-concussion syndrome symptoms. In other words, my expertise is limited in the area of optics, but I would refer people out if oculomotor activities would not improve their coordination. Sensorimotor disruption is common in post-concussion syndrome, and this can cause strabismus (basically where one or both eyes are pointed outside the area of focus). From my understanding, prisms in eyeglasses bend light so that the person can fixate their eye appropriately. In functional neurological symptoms (such as occurring with post-concussion syndrome), the levels of strabismus are generally minimal (compared to a measurable sustained injury to the brain tissue) but can cause some eye strain and difficulty coordinating movement. Successful oculomotor rehabilitation in these cases hopefully will include a gradual reduction in prisms. So, while they can have a placating effect, that effect is a real effect of the physics of optics and how that interacts with their nervous system. Another thing is that even if someone needs prisms, not everyone can tolerate them from what I hear and some do better without them. I hope that explanation helps. -David