Scheie Eye Institute, University of Pennsylvania, Philadelphia.
University of Cincinnati Medical Center, Cincinnati, Ohio.
J AAPOS. 2021 Apr;25(2):85.e1-85.e6. doi: 10.1016/j.jaapos.2020.11.018. Epub 2021 Apr 24.
To analyze the various factors affecting patient satisfaction with prism glasses in adults with diplopia.
In this prospective case series, the benefits and side effects of prisms and factors affecting prism satisfaction were assessed by means of a questionnaire.
A total of 134 patients were included. Overall, 58% of patients were highly satisfied, 22% were somewhat satisfied, and 20% were either neutral, somewhat dissatisfied, or very dissatisfied with prism glasses. Prior history of prism use, amplitude of prisms, comitancy of deviation, and type of lenses worn, had no influence on satisfaction rates. The extent of resolution of diplopia was highly correlated with prism satisfaction (P < 0.001), improvement in depth perception (P < 0.001), driving (P < 0.001), and reading (P < 0.008). Up to 22% of the participants noted "bothersome" side effects, including headaches, dizziness, eye strain and pulling (22%), alteration of depth perception (16%), visual distortion (13%), halos (8%), and weight of the prisms (6%).
In this cohort of adults with diplopia, prisms were beneficial in treating diplopia of different etiologies, incomitance, and a wide range of deviations. The side effects experienced with prism glasses themselves accounted for patient dissatisfaction in our study.
分析影响成人复视患者对棱镜眼镜满意度的各种因素。
在这项前瞻性病例系列研究中，通过问卷调查评估棱镜的益处和副作用以及影响棱镜满意度的因素。
共纳入 134 例患者。总体而言，58%的患者非常满意，22%的患者满意，20%的患者对棱镜眼镜感到中立、有些不满或非常不满。既往使用棱镜的情况、棱镜的幅度、偏斜的共转性以及所戴镜片的类型均不影响满意度。复视的缓解程度与棱镜满意度高度相关（P<0.001），对深度知觉的改善（P<0.001）、驾驶（P<0.001）和阅读（P<0.008）也有改善。多达 22%的参与者注意到“令人困扰”的副作用，包括头痛、头晕、眼疲劳和牵拉感（22%）、深度知觉改变（16%）、视觉失真（13%）、光环（8%）和棱镜的重量（6%）。
在本队列中，棱镜对不同病因、共转性和广泛偏差的复视均有治疗作用。在我们的研究中，棱镜眼镜本身的副作用导致了患者的不满。
