Can Sclerals Replace Prism Glasses? - Summary - MDSpire

Can Sclerals Replace Prism Glasses?

  • By

  • Melissa Barnett, OD, FAAO, FSLS

  • May 1, 2026

  • 4 min

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Objective:

To evaluate the efficacy of prism-incorporated impression-based scleral lenses (pibSL) as a substitute for traditional prism spectacles in managing binocular diplopia.

Key Findings:
  • All individuals achieved 20/20 vision or better and resolution of diplopia with pibSLs.
  • Patients reported high satisfaction levels regarding comfort and cosmesis.
  • Inclusion of wavefront-guided optics reduced higher-order aberrations, enhancing visual quality.
Interpretation:

Limitations:
  • Further studies are needed to objectively explore visual quality and limitations of pibSL.
Conclusion:

Original Source(s)

Can Sclerals Replace Prism Glasses?

  • by Melissa Barnett, OD, FAAO, FSLS

  • May 1, 2026

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