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Lensmart Blog","2022-04-30 23:24:59","contact-lenses-guide","Contact Lenses Buying Guide","Sprievodca Nákupom Kontaktných Šošoviek",{"id":167,"title":743,"head_title":744,"head_description":8,"head_keywords":8,"sort":83,"create_time":745,"pid":9,"leve":5,"status":5,"url_title":746,"list_title":103,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":8,"list":747},"Športové Okuliare: Tipy & Príručky","Sports Glasses Tips & Guides - Lensmart Blog","2026-05-15 10:29:18","sports-glasses-tips-and-guides",[748],{"id":163,"title":749,"head_title":750,"head_description":8,"head_keywords":8,"sort":5,"create_time":751,"pid":167,"leve":15,"status":5,"url_title":752,"list_title":753,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":749},"Tipy & Príručky pre Bežecké Okuliare","Running Glasses Tips & Guides - Lensmart Blog","2026-05-15 10:31:10","running-glasses-tips-and-guides","Running Glasses Tips & Guides",{"id":59,"title":755,"head_title":756,"head_description":8,"head_keywords":8,"sort":79,"create_time":757,"pid":9,"leve":5,"status":5,"url_title":758,"list_title":8,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":8,"list":759},"Tipy & Sprievodcovia Starostlivosti O Oči","Eyecare Tips & Guides - Lensmart Blog","2021-09-22 19:32:11","eyecare-tips-and-guides",[760],{"id":67,"title":761,"head_title":756,"head_description":8,"head_keywords":8,"sort":15,"create_time":762,"pid":59,"leve":15,"status":5,"url_title":763,"list_title":764,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":761},"Starostlivosť O Oči","2021-09-22 19:33:03","eyecare","Eyecare",{"id":136,"title":766,"head_title":767,"head_description":768,"head_keywords":769,"sort":75,"create_time":770,"pid":9,"leve":5,"status":5,"url_title":771,"list_title":103,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":8,"list":772},"Online Recenzia Okuliarov","Lensmart Online Eyewear Review – Expert Glasses & Sunglasses Ratings & Tips","Discover honest and detailed online eyewear reviews. Find expert ratings, style tips, and buying guides for glasses and sunglasses to help you choose the perfect pair.","online eyewear review, glasses review, sunglasses review, eyewear ratings, best eyeglasses, buying guide glasses, stylish eyewear, affordable sunglasses","2025-06-12 16:25:26","online-eyewear-review",[773],{"id":140,"title":766,"head_title":767,"head_description":768,"head_keywords":769,"sort":5,"create_time":774,"pid":136,"leve":15,"status":5,"url_title":771,"list_title":775,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":766},"2025-06-12 16:30:14","Online Eyewear Review",{"id":144,"title":777,"head_title":8,"head_description":8,"head_keywords":8,"sort":71,"create_time":778,"pid":9,"leve":5,"status":5,"url_title":779,"list_title":103,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":8,"list":780},"Escolha de óculos & guias de estilo de vida","2025-12-08 20:49:34","glasses-lifestyle-guides",[781],{"id":148,"title":782,"head_title":8,"head_description":8,"head_keywords":8,"sort":5,"create_time":783,"pid":144,"leve":15,"status":5,"url_title":779,"list_title":784,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":782},"Výber okuliarov & lifestyle sprievodcov","2025-12-08 20:53:58","Glasses Choosing & Lifestyle Guides",{"id":95,"title":786,"head_title":787,"head_description":8,"head_keywords":8,"sort":67,"create_time":788,"pid":9,"leve":5,"status":5,"url_title":789,"list_title":8,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":8,"list":790},"Odporúčané Okuliare","Find why Lensmart recommends these glasses - Lensmart Blog","2023-09-26 15:15:23","recommended-glasses",[791],{"id":129,"title":792,"head_title":793,"head_description":8,"head_keywords":8,"sort":5,"create_time":794,"pid":95,"leve":15,"status":5,"url_title":795,"list_title":796,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":797},"Výber od Lensmart","Lensmart's Pick: Explore The Best Glasses for This Year","2023-09-26 15:20:35","picks","Explore The Best Glasses with Lensmart","Objavte Najlepšie Okuliare s Lensmart",{"id":156,"title":799,"head_title":800,"head_description":8,"head_keywords":8,"sort":59,"create_time":801,"pid":9,"leve":5,"status":5,"url_title":802,"list_title":103,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":8,"list":803},"Vianočná Zľava","holiday-sale - Lensmart Blog","2024-11-06 11:12:18","holiday-sale",[804],{"id":132,"title":799,"head_title":800,"head_description":8,"head_keywords":8,"sort":5,"create_time":805,"pid":156,"leve":15,"status":5,"url_title":802,"list_title":806,"list_comment":8,"pc_img":8,"wap_img":8,"listtitlelang":799},"2024-11-06 11:16:15","Holiday Sale",{"type":808,"list":811,"url":821},{"p_type":809,"pp_type":810},{"id":144,"title":784,"pid":9,"head_title":8,"head_description":8,"head_keywords":8,"url_title":779,"list_title":103,"list_comment":8,"pc_img":8,"wap_img":8},{"id":148,"title":784,"pid":144,"head_title":8,"head_description":8,"head_keywords":8,"url_title":779,"list_title":784,"list_comment":8,"pc_img":8,"wap_img":8},{"id":812,"type_id":148,"sort":9,"desc":813,"title":814,"img_alt":8,"img":815,"f_title":103,"url_title":816,"label":8,"author":8,"content":817,"head_title":818,"head_description":813,"head_keywords":8,"create_time":819,"status":5,"is_tj":9,"desclang":820,"head_canonical":8,"author_id":9,"author_img":8,"author_role":8,"author_content":8},964,"A guide to prism and base values in prescriptions, explaining how they align eyes and correct conditions like double vision and strabismus.","Decoding Prism Base Directions: Mapping Lenses to Alignment","https://image.lensmartonline.com/2026-02-11/1770776969803280.png","prism-base-directions-decoding-prescription","\u003Ch2 style=\"margin: 30px 0 20px 0\">TL;DR: Your Guide to Prism Correction\u003C/h2>\n\u003Cp>If your prescription has \"Prism\" and \"Base\" values, your lenses contain a special correction to align your two eyes, preventing double vision and reducing eye strain. The \u003Cstrong>Base Direction\u003C/strong>—Up, Down, In, or Out—tells the lab where to place the thickest edge of the prism. This guide breaks down what each direction means, how it corrects your specific eye alignment, and how to verify your lenses are made correctly.\u003C/p>\n\u003Chr/>\n\u003Ch2 style=\"margin: 30px 0 20px 0\">What Is Prism and Why Is It on My Prescription?\u003C/h2>\n\u003Cp>If you've ever felt like your eyes are fighting each other, you understand the discomfort of binocular vision dysfunction (BVD). This condition occurs when your eyes are slightly misaligned, forcing your brain to work overtime to merge two separate images into a single, clear picture. According to research, this struggle is not just tiring; it can be linked to anxiety, dizziness, and persistent headaches.\u003C/p>\n\u003Cp>This is where prism correction comes in. It’s a component added to your lenses designed to resolve symptoms caused by conditions like:\u003C/p>\n\u003Cul>\n\u003Cli>\n\u003Cstrong>Phorias (Latent Misalignment):\u003C/strong> A tendency for an eye to drift when it's covered or tired.\u003C/li>\n\u003Cli>\n\u003Cstrong>Tropias (Manifest Misalignment):\u003C/strong> A constant, noticeable turn of an eye (a form of strabismus).\u003C/li>\n\u003Cli>\n\u003Cstrong>Convergence Insufficiency:\u003C/strong> Difficulty turning the eyes inward to focus on near objects, leading to strain while reading.\u003C/li>\n\u003C/ul>\n\u003Ch3 style=\"margin: 15px 0 10px 0\">The Physics of Prism: Bending Light to Align Your Vision\u003C/h3>\n\u003Cp>A prism lens is, at its core, a tool that bends light. It redirects the image you are looking at to land on the correct spot on your retina, without forcing your eye muscles to strain. Think of it as a visual \"trick\": the prism moves the image to where your eye is naturally pointing, so your brain perceives the world as single and clear.\u003C/p>\n\u003Cp>As defined by clinical optics resources like StatPearls, a prism deviates light toward its thickest part, known as the base. The image, in turn, is shifted toward the thinnest part, the apex. This intentional shift is what alleviates the double vision or eye strain caused by the misalignment.\u003C/p>\n\u003Cp>\u003Cimg alt=\"A visual representation of how a prism lens shifts the perceived location of an object to align with the eye's natural resting position.\" src=\"https://image.lensmartonline.com/5dedf202602111029388206.png?imageView2/2/interlace/1/ignore-error/1/format/webp\" style=\"width: auto; height: auto; display: block; margin: 1rem auto;\"/>\u003C/p>\n\u003Cp>On your prescription, you'll see this noted in two columns:\u003C/p>\n\u003Col>\n\u003Cli>\n\u003Cstrong>Prism:\u003C/strong> A number measured in prism diopters (e.g., \"2.0\") that indicates the \u003Cem>strength\u003C/em> of the correction.\u003C/li>\n\u003Cli>\n\u003Cstrong>Base:\u003C/strong> A direction—Up, Down, In, or Out—that tells the optician \u003Cem>how\u003C/em> to orient the prism in your lens.\u003C/li>\n\u003C/ol>\n\u003Ch2 style=\"margin: 30px 0 20px 0\">Decoding the Four Base Directions: Up, Down, In, and Out\u003C/h2>\n\u003Cp>The base direction is the map that guides how your lenses are made. It corresponds to the thickest edge of the prism and is determined by the specific direction your eye deviates.\u003C/p>\n\u003Cp>\u003Cimg alt=\"An infographic explaining the four prism base directions: Up, Down, In, and Out.\" src=\"https://image.lensmartonline.com/ede5a202602111029336320.png?imageView2/2/interlace/1/ignore-error/1/format/webp\" style=\"width: auto; height: auto; display: block; margin: 1rem auto;\"/>\u003C/p>\n\u003Ch3 style=\"margin: 15px 0 10px 0\">Horizontal Prism: Managing Inward and Outward Misalignment\u003C/h3>\n\u003Cp>Horizontal prism corrects eye alignments on the horizontal plane—either turning inward toward the nose or outward toward the temples.\u003C/p>\n\u003Cul>\n\u003Cli>\n\u003Cp>\u003Cstrong>Base Out (BO):\u003C/strong> This is used to correct \u003Cstrong>esophoria\u003C/strong> or \u003Cstrong>esotropia\u003C/strong>, where one or both eyes have a tendency to turn \u003Cstrong>inward\u003C/strong>. The prism is ground with the base (thickest edge) facing the outer edge of your glasses (your temple). This shifts the perceived image outward, allowing your inwardly turned eye to see it without straining to straighten out.\u003C/p>\n\u003C/li>\n\u003Cli>\n\u003Cp>\u003Cstrong>Base In (BI):\u003C/strong> This is the solution for \u003Cstrong>exophoria\u003C/strong> or \u003Cstrong>exotropia\u003C/strong>, where one or both eyes tend to drift \u003Cstrong>outward\u003C/strong>. The prism base is positioned facing the inner edge of your glasses (your nose). This moves the image inward, meeting the natural, deviated position of your eye.\u003C/p>\n\u003C/li>\n\u003C/ul>\n\u003Ch3 style=\"margin: 15px 0 10px 0\">Vertical Prism: Correcting Upward and Downward Misalignment\u003C/h3>\n\u003Cp>Vertical prism addresses misalignments where one eye is aimed higher or lower than the other.\u003C/p>\n\u003Cul>\n\u003Cli>\n\u003Cp>\u003Cstrong>Base Up (BU):\u003C/strong> This corrects for \u003Cstrong>hypotropia\u003C/strong> or \u003Cstrong>hypophoria\u003C/strong>, a condition where one eye points \u003Cstrong>downward\u003C/strong> relative to the other. The prism is made with its base at the top of the lens. This orientation bends light downward, moving the image down to meet the eye’s resting position.\u003C/p>\n\u003C/li>\n\u003Cli>\n\u003Cp>\u003Cstrong>Base Down (BD):\u003C/strong> This is prescribed for \u003Cstrong>hypertropia\u003C/strong> or \u003Cstrong>hyperphoria\u003C/strong>, where one eye aims \u003Cstrong>upward\u003C/strong>. The prism base is located at the bottom of the lens, which effectively moves the image up for the misaligned eye to see clearly.\u003C/p>\n\u003C/li>\n\u003C/ul>\n\u003Ch2 style=\"margin: 30px 0 20px 0\">From Lab to Your Face: How Prism Lenses Are Made and Verified\u003C/h2>\n\u003Cp>Understanding the theory is one thing, but ensuring your glasses are made correctly is what truly matters. The effectiveness of prism correction is highly sensitive to how the lenses are manufactured and fitted.\u003C/p>\n\u003Ch3 style=\"margin: 15px 0 10px 0\">Manufacturing Precision: Splitting and Placement\u003C/h3>\n\u003Cp>When you have a horizontal prism prescription, opticians often use a technique called \u003Cstrong>prism splitting\u003C/strong>. For instance, if your prescription calls for 4.0 diopters of Base Out (BO) prism, the lab may grind 2.0 diopters of BO into the right lens and 2.0 diopters into the left lens. This is a standard practice for powers above 3.0 diopters because it helps to:\u003C/p>\n\u003Cul>\n\u003Cli>Balance the weight and thickness of the lenses.\u003C/li>\n\u003Cli>Reduce cosmetic distortions and visual discomfort known as aniseikonia (a difference in image size between the two eyes).\u003C/li>\n\u003C/ul>\n\u003Cp>However, this rule does not apply to vertical prism. As clinical fitting experience shows, a prescription for \u003Cstrong>Base Up (BU) prism for the right eye must be ground on the right lens\u003C/strong>. It cannot be placed as Base Down on the left lens to achieve the same effect, as this can interfere with the brain's vertical adaptation and cause further discomfort.\u003C/p>\n\u003Ch3 style=\"margin: 15px 0 10px 0\">A Quick Check You Can Do at Home\u003C/h3>\n\u003Cp>While you need an optician to measure the exact power, you can often do a simple, non-destructive check to see if prism is present in your lenses. If you have high-index lenses, hold your glasses up to a light source and look for a \u003Cstrong>chromatic fringe\u003C/strong> or a \"rainbow\" effect, particularly around the edges. This color separation is a natural side effect of light passing through a high-index material with prism and is typically more pronounced than in standard CR-39 lenses. Its presence can be a quick confirmation that a prism has been ground into the lens.\u003C/p>\n\u003Ch2 style=\"margin: 30px 0 20px 0\">Frequently Asked Questions About Prism Lenses\u003C/h2>\n\u003Cul>\n\u003Cli>\n\u003Cp>\u003Cstrong>Why do my new prism glasses feel strange?\u003C/strong>\nLike with \u003Ca href=\"https://www.lensmartonline.com/blogs/lensmartonline/progressive-lens-peripheral-blur-normal\" target=\"_blank\">switching to progressive lenses\u003C/a>, there is an adaptation period. Your brain has been working hard to compensate for misalignment, and it needs time to learn to relax and let the prisms do the work. This can initially cause a \"pulling\" sensation or mild disorientation.\u003C/p>\n\u003C/li>\n\u003Cli>\n\u003Cp>\u003Cstrong>Can the need for prism correction change over time?\u003C/strong>\nYes. Binocular vision can change due to age, injury, or progression of an underlying condition. It's also possible for vision therapy to improve muscle control, potentially reducing the amount of prism needed. Regular eye exams are crucial.\u003C/p>\n\u003C/li>\n\u003Cli>\n\u003Cp>\u003Cstrong>What if I still have double vision or headaches with my new glasses?\u003C/strong>\nIf symptoms persist after a week of full-time wear, contact your eye doctor. This could indicate a need for a prescription adjustment, a fitting error (like an incorrect pupillary distance), or a more complex underlying issue.\u003C/p>\n\u003C/li>\n\u003Cli>\n\u003Cp>\u003Cstrong>Can I get prism correction in any type of lens or frame?\u003C/strong>\nYes, prism can be ground into most lens types, including single vision, bifocal, progressive, and sunglasses. However, higher prism powers can increase lens thickness and weight, which may limit your frame choices. Your optician can help you select a frame that works well with your prescription.\u003C/p>\n\u003C/li>\n\u003C/ul>\n\u003Ch2 style=\"margin: 30px 0 20px 0\">Beyond the Jargon: Trusting Your Correction\u003C/h2>\n\u003Cp>Understanding your prism prescription is the first step toward visual comfort and confidence. The base direction is not just technical jargon; it is a precise map that translates your unique visual needs into a physical tool for alignment. By knowing whether you need Base In, Out, Up, or Down, you can have more effective conversations with your optician and better understand the technology working to bring your world into a single, clear focus.\u003C/p>\n\u003Cp>However, this knowledge should complement, not replace, professional expertise. The precise fitting of prism lenses is critical to their function. Always rely on a qualified optician to take accurate measurements and ensure your glasses are made to specification.\u003C/p>\n\u003Chr/>\n\u003Cp>\u003Cstrong>Medical Disclaimer:\u003C/strong> This article is for informational purposes only and does not constitute medical advice. The information contained herein is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.\u003C/p>\n\u003Ch3 style=\"margin: 15px 0 10px 0\">References\u003C/h3>\n\u003Col>\n\u003Cli>Jauregui, R., & T_soro, M. D. (2024). \u003Cem>Prisms In Ophthalmology\u003C/em>. StatPearls Publishing. Available at: \u003Ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK580488/\" rel=\"nofollow\" target=\"_blank\">https://www.ncbi.nlm.nih.gov/books/NBK580488/\u003C/a>\n\u003C/li>\n\u003Cli>Borsting, E., & CITT-ART Investigator Group. (2020). \u003Cem>Vision Therapy for Convergence Insufficiency\u003C/em>. Available at: \u003Ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC8092638/\" rel=\"nofollow\" target=\"_blank\">https://pmc.ncbi.nlm.nih.gov/articles/PMC8092638/\u003C/a>\n\u003C/li>\n\u003Cli>Debinski, W., et al. (2023). \u003Cem>BVD and Psychiatric Comorbidity Poster\u003C/em>. NVM Institute. Available at: \u003Ca href=\"https://nvminstitute.org/wp-content/uploads/2023/08/Psych-Congress-BVD-Poster.pdf\" rel=\"nofollow\" target=\"_blank\">https://nvminstitute.org/wp-content/uploads/2023/08/Psych-Congress-BVD-Poster.pdf\u003C/a>\n\u003C/li>\n\u003Cli>Al-Haddad, C., et al. (2023). \u003Cem>Spectacle Adaptation and Aniseikonia\u003C/em>. Available at: \u003Ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC11603396/\" rel=\"nofollow\" target=\"_blank\">https://pmc.ncbi.nlm.nih.gov/articles/PMC11603396/\u003C/a>\n\u003C/li>\n\u003C/ol>\n","Prism Base Directions in Glasses: Decoding Your Rx","2026-02-11 10:29:40","{\"en\":\"A guide to prism and base values in prescriptions, explaining how they align eyes and correct conditions like double vision and strabismus.\",\"fr\":\"\",\"es\":\"\",\"de\":\"\",\"hu\":\"\",\"pt\":\"\",\"sk\":\"\"}","/glasses-lifestyle-guides/details/prism-base-directions-decoding-prescription/"]