Prisms can be very effective for patients that require glasses to see.
Prisms are often not as well tolerated by patients, children and adults, when the patient really doesn't need the glasses to see well. Patching will NOT strrengthen the muscle. In my opinion, vision therapy or eye exercises for vertical strabismus problems is a waste of time and money. However, patients with SOP often drift again, and often require more than one surgery in their lifetime. Robert W. Enzenauer, MD, mPH PEdiatric Ophthalmology Chattanooga, TN Previous Article Return to Main Article Article complete.