| Comparison of Double Maddox Rod Test and Bagolini Striated Lens Test for Superior Oblique Palsy. |
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Si Eun Lee, Sook Hyun Yoon, Sook Young Kim |
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Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea. Leesea7015@naver.com |
| 상사근마비 환자에서 이중마독스막대검사와 바골리니렌즈검사 결과의 비교 |
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이시은⋅윤숙현⋅김숙영 |
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대구가톨릭대학교 의과대학 안과학교실 |
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Received: 6 August 2015 • Revised: 31 December 2015 • Accepted: 22 April 2016 |
| 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. |
| Key Words:
Bagolini striated lens test;Cyclofusional capacity;Double Maddox rod test;Subjective test for torsion;Superior oblique muscle palsy |
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