ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2017
The influence of ocular sighting dominance on Fundus torsion in patients with unilateral congenital superior oblique palsy.
Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Evaluation of objective ocular cyclodeviation according to age, sex, and eye side.Japanese journal of ophthalmology · 2026Observational
- Evaluation of the effect of unilateral and bilateral inferior oblique myectomy on fundus torsion in primary and secondary inferior oblique overaction.Northern clinics of Istanbul · 2023Article
- Article
- Clinical features of excyclotorsion in the non-paretic eye of patients with congenital unilateral superior oblique palsy.BMC ophthalmology · 2022Article
- Influence of eye dominance on objective and subjective excyclotorsion in unilateral superior oblique muscle palsy: objective cyclotorsion measured by fundus photography.Japanese journal of ophthalmology · 2021Article
- Congenital ocular counter-roll: a review of cases treated exclusively by ophthalmologists.International journal of ophthalmology · 2021Article
- Bilateral Fundus Excyclotorsion in Unilateral Superior Oblique Palsy Confirmed by MR Imaging.Journal of clinical medicine · 2020Article
- Effect of unilateral inferior oblique weakening on fundus torsion in bilateral eyes of children with congenital superior oblique palsy.International journal of ophthalmology · 2020Article
- Comparison of ocular torsion between congenital and acquired unilateral superior oblique palsy.Eye (London, England) · 2019Article
- Interocular Symmetry of Fixation, Optic Disc, and Corneal Astigmatism in Bilateral High Myopia: The Shanghai High Myopia Study.Translational vision science & technology · 2019Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of our study was to determine whether ocular sighting dominance may influence the ocular torsion in patients with unilateral congenital superior oblique palsy (UCSOP).
methodsThis retrospective study included 22 UCSOP patients with radiologic evidence of unilateral superior oblique muscle hypoplasia on orbital magnetic resonance imaging and 66 healthy individuals with normal ocular motility as controls. Ocular torsion was assessed both quantitatively and qualitatively using digital fundus photography. The disc-fovea angle (DFA) was measured quantitatively using image software on a computer screen. All fundus photographs were qualitatively graded as normal torsion, extorsion, or intorsion in all subjects, based on the location of the optic disc relative to the fovea, according to the Bixenman and von Noorden's criteria. Ocular sighting dominance was assessed by the hole-in-the-card test and the pointing test. The Mann-Whitney U test and Fisher's exact test were used to determine the association between the ocular sighting dominance and the ocular torsion.
resultsThe median DFA was significantly larger in the eyes of patients with UCSOP (9.1° in the paretic eyes and 9.3° in the non-paretic eyes) than the eyes of the control group (4.3°, p < 0.001 for both). Ocular dominance tests displayed that, among 22 patients, 11 were paretic eye dominant and the other 11 were non-paretic eye dominant. The sighting-dominant eyes demonstrated significantly smaller median DFA than the non-dominant eyes (8.3° and 10.7°, respectively, p = 0.033), regardless of which eyes were paretic. Ten eyes of ten patients had extorsion, none had intorsion, and all the eyes of remaining 12 patients had no abnormal torsion, qualitatively. All the eyes showing extorsion in fundus photography were non-dominant eyes, regardless of whether the eyes were paretic or non-paretic.
conclusionsOur findings illuminate the importance of considering ocular sighting dominance for properly assessing ocular torsion in patients with UCSOP. Ocular sighting dominance may have an influence on objective ocular torsion in a way that decreases the torsion in the dominant eye, thereby hindering the abnormal ocular torsion from appearing in that eye.
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