Prescribing cylinders: The problem of distortion

Research output: Contribution to journalArticlepeer-review


Astigmatic spectacle corrections produce distortion of retinal images. Under binocular conditions, small amounts of monocular distortion may significantly alter the sense of spatial localization, producing symptomatic binocular distortion. From examination of the nature and sources of monocular distortion, a rational basis may be developed for methods to minimize distortion when necessary. Adaptation to distortion occurs both by interpretive and physiological mechanisms, with the physiological mechanism appearing to be a type of rotational anomalous retinal correspondence. Through better knowledge of distortion and adaptive mechanisms, a revised set of practical guidelines for prescribing cylinders is presented.

Original languageEnglish (US)
Pages (from-to)177-188
Number of pages12
JournalSurvey of ophthalmology
Issue number3
StatePublished - Jan 1 1977


  • adaptation
  • aniseikonia
  • astigmatism
  • axis error
  • cyclinders
  • distortion
  • magnification
  • prescribing

ASJC Scopus subject areas

  • Ophthalmology


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