Evidence map›Paper›PMID 26562632›Full record

ArticleJAMA ophthalmology2016

Variability of Ocular Deviation in Strabismus.

John R Economides, Daniel L Adams, Jonathan C Horton

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in JAMA ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.7field-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

27 citing papers in PubMed, 54 citations in OpenAlex.

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  15. Interocular Suppression in Primary Visual Cortex in Strabismus.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
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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

3 authors at 1 institution in 2 countries.

John R EconomidesDepartment of Ophthalmology, University of California, San Francisco.
Daniel L AdamsDepartment of Ophthalmology, University of California, San Francisco2Center for Mind/Brain Sciences, The University of Trento, Trento, Italy.
Jonathan C HortonDepartment of Ophthalmology, University of California, San Francisco.
University of California, San Francisco · US

Funding

Rapid-Prototyping and Design CoreP30EY002162 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LAKKARAJU, APARNA · 1985 to 2024
$16.8M
STRUCTURAL BASIS OF AMBLYOPIA AND STRABISMUSR01EY010217 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HORTON, JONATHAN C · 1993 to 2018
$8.5M
Structural Basis of Amblyopia and StrabismusR56EY010217 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HORTON, JONATHAN C · 2008 to 2008
$369k
NEI NIH HHS EY02162NEI NIH HHS EY10217NEI NIH HHS P30 EY002162NEI NIH HHS R01 EY010217NEI NIH HHS R56 EY010217
6 · The paper itself

Abstract

importanceIn strabismus, the fixating eye conveys the direction of gaze while the fellow eye points at a peripheral location in space. The stability of the eyes may be reduced by the absence of a common target.

objectiveTo quantify the stability of eye position in strabismus and to measure variability in the ocular deviation. DESIGN, SETTING, AND

participantsFrom 2010 to 2014, a prospective comparative case study of 25 patients with alternating exotropia with normal visual acuity in each eye and 25 control individuals was conducted in a laboratory at a tertiary eye center. A video eye tracker was used to measure the position of each eye while participants alternated fixation on the center of a cross under dichoptic conditions or scanned pictures of natural scenes. MAIN OUTCOMES AND MEASURES: Spatial and temporal variability in the position of the fixating eye and the nonfixating eye in patients with strabismus and control individuals, quantified by the log area of ellipses containing 95% of eye positions or mean SDs of eye position.

resultsIn the 25 patients with strabismus, the mean (SD) age was 28 (14) years (range, 8-55 years) and the mean (SD) ocular deviation was 14.2° (5.9°) (range, 4.4°-22.4°). In the patients with strabismus, the mean position variability (1.80 log units; 95% CI, 1.66-1.93) for the deviating eye was greater than for the fixating eye (1.26 log units; 95% CI, 1.17-1.35) (P < .001). The fixating eye of patients with strabismus was more variable in position than the fixating eye of individuals without strabismus (0.98 log units; 95% CI, 0.88-1.08) (P < .005). CONCLUSIONS AND RELEVANCE: In patients with strabismus, even without amblyopia, the deviated eye is more variable in position than the fixating eye. Both eyes are less stable in position than the eyes of control individuals, which indicates that strabismus impairs the ability to fixate targets steadily. Saccades contribute to variability of the deviation angle because they are less conjugate in patients with strabismus.

Indexed as

AdolescentAdultChildDiagnostic Techniques, OphthalmologicalEsotropiaExotropiaFemaleFixation, OcularHumansMaleMiddle AgedProspective StudiesSaccadesVideo RecordingVision, Binocular

Identifiers

PMID26562632
PMCPMC4713272
OpenAlexW2112913628

What OpenQuestion holds

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Registered trials

None linked

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.