Horizontal Prism
Combined vertical and horizontal strabismus isn’t uncommon. Etiologies include orbital diseases such as Graves orbitopathy, trauma, decompensated phorias, intracranial ischemic or neoplastic processes, and prior scleral buckling or complex eye muscle procedures. When vertical prism, base up or base down is specified, avoid using a frame with a deep lens shape. Usually horizontal prism is…