Can Sclerals Replace Prism Glasses? - Takeaways - MDSpire

Can Sclerals Replace Prism Glasses?

  • By

  • Melissa Barnett, OD, FAAO, FSLS

  • May 1, 2026

  • 4 min

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  • 1

    Prism can be incorporated into contact lenses to correct small-angle deviations and is an option for some individuals instead of spectacle lenses.

  • 2

    A case report showed successful correction of vertical heterophoria using a base-down prism in a bitoric rigid GP lens.

  • 3

    A study reported the elimination of horizontal diplopia with prism incorporated into lenses for patients with head trauma.

  • 4

    Impression-based scleral lenses with prism achieved 20/20 vision and resolved diplopia in a case series of seven patients.

  • 5

    PibSLs are a well-tolerated alternative to traditional prism spectacles, improving comfort and visual quality for binocular diplopia.

Original Source(s)

Can Sclerals Replace Prism Glasses?

  • by Melissa Barnett, OD, FAAO, FSLS

  • May 1, 2026

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