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ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2021

Quantitative measurement of passive duction force tension in intermittent exotropia and its clinical implications.

Hyunkyoo Kang, Shin-Hyo Lee, Chung-Sik Oh, Hyun Jin Shin, Andrew G Lee

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In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hyunkyoo KangDepartment of Mechatronics and Electronic Engineering, Konkuk University Glocal Campus, Chungju, Chungcheongbuk-do, Republic of Korea.
Shin-Hyo LeeDepartment of Anatomy, Yonsei University College of Medicine, Seoul, Republic of Korea.
Chung-Sik OhDepartment of Anesthesiology and Pain Medicine, Konkuk University Medical Center, Seoul, South Korea.
Hyun Jin ShinDepartment of Ophthalmology, Research Institute of Medical Science, Konkuk University Medical Center, Konkuk University School of Medicine, 120 Neungdong-ro, Gwangjin-gu, Seoul, 05030, Republic of Korea. shineye@kuh.ac.kr.ORCID http://orcid.org/0000-0002-3563-8042
Andrew G LeeDepartment of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA.

Funding

Basic Science Research Program through the National Research Foundation of Korea 2020R1I1A3075301
6 · The paper itself

Abstract

purposeTo evaluate the passive duction force (PDF) in extraocular muscles (EOMs) in patients with intermittent exotropia (IXT) using a quantitative tension-measuring device.

methodsThis prospective, case-control study enrolled 25 patients with IXT and 26 age- and sex-matched controls. PDF was measured under general anesthesia as the eyeball was rotated medially or laterally away from the direction of the force being tested. The preferred eye for fixation was determined using a cover-uncover test.

resultsThe PDF in the IXT and control groups were 60.9 g and 52.1 g, respectively, for the lateral rectus (LR) (p = 0.046) and 53.0 g and 48.8 g for the medial rectus (MR) (p = 0.293). When the eyes were examined separately in the IXT group, the PDF of LR was larger in the nonpreferred eye for fixation than in the control group (p = 0.039), whereas there was no difference in the preferred eye for fixation (p = 0.216). Additionally, the relative PDF of LR in the nonpreferred eye compared to the ipsilateral PDF of MR was positively associated with the duration of manifest deviation (p = 0.042) and the average angle of the near and far deviations (p = 0.023).

conclusionsThe PDF in the LR in patients with IXT in the nonpreferred eye for fixation was larger than normal and could increase with the duration of manifest deviation and the angle of deviation. Evaluating the PDF in EOMs could provide information that is useful for managing strabismus and understanding its pathophysiology.

Indexed as

ExotropiaStrabismusCase-Control StudiesHumansOculomotor MusclesProspective StudiesExotropiaExtraocular musclesPassive duction forceQuantitative measurementTension

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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.