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StudyEye & contact lens · 2026

Management of Binocular Diplopia With Prism Incorporated Ocular Impression-Based Scleral Lenses With and Without Wavefront-Guided Optics.

John D Gelles, Angelina Weng, Victoria Vought … Steven A Greenstein

OphthalmologyStudy

Prism scleral lenses resolved diplopia and improved acuity to 20/20 or better in all patients.

Management of Binocular Diplopia With Prism Incorporated Ocular Impression-Based Scleral Lenses With and Without Wavefront-Guided Optics.

John D Gelles … Steven A Greenstein

Eye & contact lens · 2026

Purpose

The purpose of this study was to report the efficacy of prism-incorporated impression-based scleral lenses (pibSL) in the management of binocular diplopia.

Methods

This case series includes seven patients with various etiologies of binocular diplopia, including congenital and acquired conditions, that were managed with pibSLs.

20/20

Results

20/20

eyesight was sharp enough to read normal-size letters, or better

More results

Wfg optics reduced residual higher-order aberrations, resulting in subjective improvement in vision quality and balanced visual acuity.

Patients reported high levels of satisfaction with pibSL.

“

Conclusion · 1 of 2

PibSLs are an effective, well-tolerated alternative to traditional prism spectacles for managing binocular diplopia and can address multiple comorbidities.

Conclusion · 2 of 2

The addition of wfg optics further improved visual quality in patients with complex visual needs.

Post

Management of Binocular Diplopia With Prism Incorporated Ocular Impression-Based Scleral Lenses With and Without Wavefront-Guided Optics.

Prism scleral lenses resolved diplopia and improved acuity to 20/20 or better in all patients.

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