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Indian Journal of Ophthalmology logoLink to Indian Journal of Ophthalmology
. 2020 Jul;68(7):1452. doi: 10.4103/ijo.IJO_26_20

The bifocal scotoma

Amber A Bhayana 1,, Vinit Tanwar 1
PMCID: PMC7574115  PMID: 32587191

An ellipse of the dark area is always seen whenever the light is allowed to pass through bifocal glasses [Fig. 1a- white arrow]. This ellipse corresponds to the junction of the distant and near lenses and we believe it to cause some form of scotoma to the person whose mechanism [Fig. 1b] we hypothesize to be very similar to roving ring scotoma,[1] in case of aphakic glasses. Differential refraction, causing differential prismatic deflection, at the junction of 2 optically dissimilar surfaces forms a scotoma between the 2 zones as shown. The same mechanism partly also contributes to negative dysphotopsias.[2]

Figure 1.

Figure 1

(a) Light across bifocal glasses showing the scotomatous area (white arrow). (b) Ray diagram explaining the mechanism for the same

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Conflicts of interest

There are no conflicts of interest.

References

  • 1.Welsh RC. The roving ring scotoma with its jack-in-the-box phenomenon of strong-plus (aphakic) spectacle lenses. Am J Ophthalmol. 1961;51:1277–81. [PubMed] [Google Scholar]
  • 2.Mamalis N. Negative dysphotopsia following cataract surgery. J Cataract Refract Surg. 2010;36:371–2. doi: 10.1016/j.jcrs.2010.01.001. [DOI] [PubMed] [Google Scholar]

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