Dataset Information

A Novel Technique for Measuring Ocular Duction Ranges.

ABSTRACT:

Purpose

To report a novel technique for measuring ocular ductions and evaluate its performance in normal participants.

Methods

We developed a laser pointer technique (LPT), a novel technique for quantitative measurement of ocular ductions. The device consists of a screen and headset with a laser pointer. Participants rotate their head while wearing the headset maintaining fixation on an optotype in the center of the screen until the target becomes blurry. Twenty-eight healthy volunteers were enrolled. The ocular ductions were measured with the LPT and compared to those of the Goldmann perimeter technique (GPT).

Results

The mean horizontal and vertical duction ranges were 95.2° ± 10.1° and 84.1° ± 10.8° using the LPT, respectively, and 113.2° ± 14.1° and 105.8° ± 12.5° using the GPT, respectively; both were significantly greater in the GPT than LPT (both P < 0.05). The total time required for testing was shorter with the LPT compared to the GPT (56.1 ± 4.5 seconds and 92.3 ± 11.6 seconds, P = 0.003). Both the LPT and GPT measurements showed excellent intraobserver repeatability, and LPT showed better interobserver repeatability.

Conclusions

Considering its reproducibility, accuracy, and simplicity, the LPT is expected to be useful for evaluating patients with ocular motility disorders as a first-order evaluation in the absence of sophisticated examination devices.

Translational relevance

The laser pointer technique, the new method for measuring ocular ductions, could be useful for evaluating patients with ocular motility disorders in clinical practice.

SUBMITTER: Sung JY

PROVIDER: S-EPMC8572481 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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Publications

A Novel Technique for Measuring Ocular Duction Ranges.

Sung Jae Yun JY Park Kee Sup KS Ku Yunseo Y Lee Sung Bok SB Kim Kyoung Nam KN Lee Yeon-Hee YH

Translational vision science & technology 20211101 13

<h4>Purpose</h4>To report a novel technique for measuring ocular ductions and evaluate its performance in normal participants.<h4>Methods</h4>We developed a laser pointer technique (LPT), a novel technique for quantitative measurement of ocular ductions. The device consists of a screen and headset with a laser pointer. Participants rotate their head while wearing the headset maintaining fixation on an optotype in the center of the screen until the target becomes blurry. Twenty-eight healthy volu ...[more]

PMID: 34724535

Similar Datasets

Project description:PurposeWe developed a method for quantifying intraoperative torsional forced ductions and validated the new test by comparing patients with oblique dysfunction and controls.DesignComparative case series.SubjectsWe studied 33 eyes with oblique dysfunction (9 with presumed congenital superior oblique palsy [SOP], 13 with acquired SOP, 7 with Brown syndrome, and 4 with inverted Brown syndrome) and 31 controls. We also studied 6 eyes after superior oblique (SO) disinsertion and 2 eyes after inferior oblique (IO) disinsertion.MethodsUnder deep general anesthesia, the 12 and 6 o'clock positions at the limbus were marked and the globe was maximally excyclorotated and incyclorotated without retroplacement until the first resistance was felt, and the angle of rotation (in degrees) was read on a Mendez ring by the surgeon. A photograph was taken in each position to be read by a masked observer.Main outcome measuresMaximal excyclorotation and maximal incyclorotation in each oblique dysfunction and in controls by both surgeon's report and photographic assessment. We duplicated the photographs to evaluate test-retest reliability and to evaluate agreement between the surgeon's assessments and the photographic assessment.ResultsSurgeon's assessment revealed greater maximal excyclorotation in eyes with presumed congenital SOP than in controls (median, 40 vs. 30 degrees). Maximal excyclorotation in eyes with acquired SOP was similar to that in controls (30 degrees in both). Eyes with Brown syndrome and inverted Brown syndrome had lower maximal excyclorotation than in controls (10 and 20 vs. 30 degrees, respectively). Maximal incyclorotation in eyes with inverted Brown syndrome was lower than in controls (12.5 vs. 30 degrees), whereas it was similar to that of controls in eyes with presumed congenital SOP, acquired SOP, and Brown syndrome (30 degrees in each condition). Median maximal excyclorotation after SO disinsertion was 62.5 degrees, and maximal incyclorotation after IO disinsertion was 60 degrees. Photographic assessment yielded findings essentially identical to the surgeon's report. Test-retest reliability of the photographic reading was excellent, and agreement between the surgeon's report and the photographic reading was also excellent (95% limits of agreement, 4.4 and 11.6; intraclass correlation coefficient, 0.97 and 0.82, respectively).ConclusionsThe new torsional forced duction test enables quantitative assessment of SO and IO tightness and laxity.

Dataset Information

A Novel Technique for Measuring Ocular Duction Ranges.

Purpose

Methods

Results

Conclusions

Translational relevance

Publications

A Novel Technique for Measuring Ocular Duction Ranges.

Similar Datasets

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