Comparison of Double Maddox Rod Test and Bagolini Striated Lens Test for Superior Oblique Palsy.
10.3341/jkos.2016.57.5.837
- Author:
Si Eun LEE
1
;
Sook Hyun YOON
;
Sook Young KIM
Author Information
1. Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea. Leesea7015@naver.com
- Publication Type:Original Article
- Keywords:
Bagolini striated lens test;
Cyclofusional capacity;
Double Maddox rod test;
Subjective test for torsion;
Superior oblique muscle palsy
- MeSH:
Daegu;
Humans;
Paralysis*
- From:Journal of the Korean Ophthalmological Society
2016;57(5):837-842
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We compared the results of the double Maddox rod test (DMRT), which is commonly performed in clinics as a subjective torsion test for superior oblique muscle palsy, with those of the Bagolini striated lenses test (BSLT) in a least dissociating condition to predict the cyclofusional capacity. METHODS: Twenty-five patients with acquired superior oblique muscle palsy were tested for degree of subjective torsion with DMRT and BSLT in primary position and down-gaze in Daegu Catholic University Hospital from May 2014 to March 2015. DMRT was performed in a dark room and BSLT in a lighted room. RESULTS: Mean extorsional degree in primary position was 3.40 ± 2.58° on DMRT and 1.88 ± 2.92° on BSLT, a significant difference (p = 0.000). In down-gaze, mean extorsional degree was 4.16 ± 2.90° with DMRT and 2.40 ± 2.90° with BSLT (p < 0.001). CONCLUSIONS: The subjective torsional measurement with BSLT was significantly smaller than with DMRT, and the cyclofusional capacity in patients with acquired superior oblique palsy was 1.5° in primary position and 1.8° in down-gaze. BSLT is helpful in addition to DMRT and fundus photograph for the evaluation of cyclotropia in patients with superior oblique muscle palsy, and this test may yield clinically important information for predicting the cyclofusional capacity of patients with superior oblique muscle palsy.
