The invention discloses a prism bar examination device for strabismus examination. According to the main technical scheme, the prism bar examination device comprises an examination table, a prism bar and a bar control mechanism, wherein the inspection table comprises two fixed columns, a head support and a movable support, the head support is arranged between the two fixed columns, two ends of the movable support are movably connected with the two fixed columns respectively; the movable support can make lifting motion in the vertical direction; the bar control mechanism comprises a horizontal sliding seat and a sliding piece, the horizontal sliding seat is fixedly connected with the movable support, a vertical sliding groove is formed in the sliding piece, and the prism bar is embedded in the vertical sliding groove; the prism bar comprises a plurality of prisms with different prism degrees, the plurality of prisms are sequentially arranged according to a fixed prism degree gradient, a positioning mechanism is arranged between the vertical sliding groove and the prism bar, and the prism bar moves upwards or downwards according to a fixed displacement distance each time through a positioning mechanism; and a light shielding plate used for shielding eyes is further arranged, and is horizontally connected with the movable support or the horizontal sliding seat in a sliding mode.