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Does Decreased Static Ocular Counter Rolling Account for Bielschowsky Head Tilt Test in Unilateral Superior Oblique Palsy?

Abstract To understand the relationship of static ocular counter rolling (s-OCR) and clinical manifestations in acquired unilateral superior oblique palsy subjects during the Bielschowsky head tilt test.
PMID
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Authors

Mayor MeshTerms

Diagnostic Techniques, Ophthalmological

Keywords
Journal Title investigative ophthalmology & visual science
Publication Year Start




PMID- 28850639
OWN - NLM
STAT- MEDLINE
DA  - 20170829
DCOM- 20170906
LR  - 20170906
IS  - 1552-5783 (Electronic)
IS  - 0146-0404 (Linking)
VI  - 58
IP  - 10
DP  - 2017 Aug 01
TI  - Does Decreased Static Ocular Counter Rolling Account for Bielschowsky Head Tilt
      Test in Unilateral Superior Oblique Palsy?
PG  - 4268-4273
LID - 10.1167/iovs.17-22166 [doi]
AB  - Purpose: To understand the relationship of static ocular counter rolling (s-OCR) 
      and clinical manifestations in acquired unilateral superior oblique palsy
      subjects during the Bielschowsky head tilt test. Methods: Nineteen subjects that 
      were diagnosed with acquired unilateral superior oblique palsy were included.
      Fundus photographs were obtained at different head tilt angles to evaluate static
      ocular counter rolling using a fundus camera with a cervical range of motion
      device. Using a graphics editing program, we calculated s-OCR from fundus
      photography. Results: The incycloductional s-OCR (OCR-I) in the paretic eye was
      significantly smaller than the OCR-I in the fellow eye (P = 0.02, <0.001, 0.002
      for 10 degrees , 20 degrees , and 30 degrees , respectively, paired t-tests). In 
      contrast, the excycloductional s-OCR (OCR-E) showed no significant difference
      between the paretic eye and the fellow eye for all angles. There was a
      significantly positive correlation between the amplitude of OCR-I in the paretic 
      eye and the degree of hypertropia on ipsilesional head tilt (rho = 0.612, 0.679, 
      0.474, P = 0.02, 0.002, 0.07 for 10 degrees , 20 degrees , and 30 degrees
      respectively, Spearman's correlation). The amplitude of OCR-I in the paretic eye 
      also showed a positive correlation with head tilt test difference, which is the
      degree of hyperdeviation difference between ipsilesional and contralesional head 
      tilts (rho = 0.445, 0.694, 0.579, P = 0.09, 0.002, 0.024 for 10 degrees , 20
      degrees , and 30 degrees respectively, Spearman's correlation). Conclusions: In
      unilateral SOP, OCR-I in the paretic eye was smaller than that in the fellow eye,
      and this was positively associated with the degree of hypertropia during
      ipsilesional head tilting, as well as the head tilt test difference.
FAU - Choi, Da Ye Diana
AU  - Choi DYD
AD  - Samsung Medical Center, Seoul, South Korea.
FAU - Lee, Soo Min
AU  - Lee SM
AD  - Samsung Medical Center, Seoul, South Korea.
FAU - Park, Kyung Ah
AU  - Park KA
AD  - Samsung Medical Center, Seoul, South Korea.
FAU - Oh, Sei Yeul
AU  - Oh SY
AD  - Samsung Medical Center, Seoul, South Korea.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Invest Ophthalmol Vis Sci
JT  - Investigative ophthalmology & visual science
JID - 7703701
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Diagnostic Techniques, Ophthalmological
MH  - Eye Movements/*physiology
MH  - Female
MH  - Head Movements/physiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Ophthalmoplegia/*diagnosis/physiopathology
MH  - Prospective Studies
MH  - Strabismus/*diagnosis/physiopathology
MH  - Young Adult
EDAT- 2017/08/30 06:00
MHDA- 2017/09/07 06:00
CRDT- 2017/08/30 06:00
AID - 2653024 [pii]
AID - 10.1167/iovs.17-22166 [doi]
PST - ppublish
SO  - Invest Ophthalmol Vis Sci. 2017 Aug 1;58(10):4268-4273. doi:
      10.1167/iovs.17-22166.