I had an unusual challenge today. I had prescribed regular Spk to - TopicsExpress

I had an unusual challenge today. I had prescribed regular Spk to an esotrope who came back to complain of discomfort with his Rx.I later did a cover test and found him to have 18 prisms BO (OD) @ 20ft.I trial framed him with split 8 prism BO over his spk Rx and he began to beam with the joy of satisfaction. Lessons learnt here are 1, we should always do cover test on all our patients, not just kids like I normally do. 2,we should not be afraid to prescribe appropriate prisms to our symptomatic patients. Lets hear your experience please.

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