Evidence map›Paper›PMID 26024072›Full record

ArticleInvestigative ophthalmology & visual science2015

Cross-coupled eye movement supports neural origin of pattern strabismus.

Fatema F Ghasia, Aasef G Shaikh, Jonathan Jacobs, Mark F Walker

Open access · bronzeAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 26 citations in OpenAlex.

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  17. Electrical Microstimulation of the Superior Colliculus in Strabismic Monkeys.Investigative ophthalmology & visual science · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Fatema F GhasiaCole Eye Institute, Cleveland Clinic, Cleveland, Ohio, United States 2Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, United States 3Daroff-DelOsso Ocular Motility Laboratory, Cleveland VA Medical Center, Cle.
Aasef G ShaikhDaroff-DelOsso Ocular Motility Laboratory, Cleveland VA Medical Center, Cleveland, Ohio, United States 4Center for Neurological Restoration, Cleveland Clinic, Cleveland, Ohio, United States.
Jonathan JacobsDaroff-DelOsso Ocular Motility Laboratory, Cleveland VA Medical Center, Cleveland, Ohio, United States.
Mark F WalkerDaroff-DelOsso Ocular Motility Laboratory, Cleveland VA Medical Center, Cleveland, Ohio, United States 5Department of Neurology, Case Western Reserve University, Cleveland, Ohio, United States.
Cleveland Clinic · USCase Western Reserve University · US

Funding

OCULAR MOTOR DISORDERSR01EY006717 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI LEIGH, RICHARD JOHN · 1987 to 2012
$1.8M
NEI NIH HHS EY06717NEI NIH HHS R01 EY006717NEI NIH HHS R01EY06717
6 · The paper itself

Abstract

purposePattern strabismus describes vertically incomitant horizontal strabismus. Conventional theories emphasized the role of orbital etiologies, such as abnormal fundus torsion and misaligned orbital pulleys as a cause of the pattern strabismus. Experiments in animal models, however, suggested the role of abnormal cross-connections between the neural circuits. We quantitatively assessed eye movements in patients with pattern strabismus with a goal to delineate the role of neural circuits versus orbital etiologies.

methodsWe measured saccadic eye movements with high-precision video-oculography in 14 subjects with pattern strabismus, 5 with comitant strabismus, and 15 healthy controls. We assessed change in eye position in the direction orthogonal to that of the desired eye movement (cross-coupled responses). We used fundus photography to quantify the fundus torsion.

resultsWe found cross-coupling of saccades in all patients with pattern strabismus. The cross-coupled responses were in the same direction in both eyes, but larger in the nonviewing eye. All patients had clinically apparent inferior oblique overaction with abnormal excylotorsion. There was no correlation between the amount of the fundus torsion or the grade of oblique overaction and the severity of cross-coupling. The disconjugacy in the saccade direction and amplitude in pattern strabismics did not have characteristics predicted by clinically apparent inferior oblique overaction.

conclusionsOur results validated primate models of pattern strabismus in human patients. We found no correlation between ocular torsion or oblique overaction and cross-coupling. Therefore, we could not ascribe cross-coupling exclusively to the orbital etiology. Patients with pattern strabismus could have abnormalities in the saccade generators.

Indexed as

AdolescentAdultCase-Control StudiesChildChild, PreschoolEye Movement MeasurementsFemaleFundus OculiHumansMaleMiddle AgedNeural PathwaysOculomotor MusclesSaccadesStrabismusTorsion Abnormality

Identifiers

PMID26024072
PMCPMC4419776
OpenAlexW2413850803

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.