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the hertel exothermometer is used to determine the axial position of the eyes the instrument is placed on the lateral orbital rim of each side using a small of a base as possible depending on the device lines on the prism are placed into position by moving the examineramp;#39;s viewpoint to determine the measurement the measurement for the patientamp;#39;s right eye should be determined with the examineramp;#39;s left eye and vice versa the device measures the distance between the lateral orbital rim and the most anterior portion of the cornea in general measurements between the two eyes should be equal if the measurements are different by two millimeters or more the patient should undergo additional evaluation