Evidence map›Paper›PMID 40087369›Full record

ArticleScientific reports2025

Prism and Maddox rod test as a reliable tool for surgical targeting in small-angle AACE.

Longxiang Huang, Jinghan Wu, Huihang Wang, Jingjin Zhang, Hong Lin, Xiaoyuan Cui, Wei Wei, Huifen Zhong, Weidong Zheng

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Evaluation of surgical outcomes and intervention threshold for small-angle acute acquired comitant esotropia.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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

9 authors.

Longxiang Huang *Department of Ophthalmology, The First Affiliated Hospital of Fujian Medical University, Bayiqi Middle Road No. 15 Nearby, Fuzhou, 350000, China.
Jinghan Wu *Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China.
Huihang WangDepartment of Ophthalmology, The First Affiliated Hospital of Fujian Medical University, Bayiqi Middle Road No. 15 Nearby, Fuzhou, 350000, China.
Jingjin ZhangDepartment of Ophthalmology, The First Affiliated Hospital of Fujian Medical University, Bayiqi Middle Road No. 15 Nearby, Fuzhou, 350000, China.
Hong LinDepartment of Ophthalmology, The First Affiliated Hospital of Fujian Medical University, Bayiqi Middle Road No. 15 Nearby, Fuzhou, 350000, China.
Xiaoyuan CuiDepartment of Ophthalmology, Fujian Children's Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Wei WeiDepartment of Ophthalmology, The First Affiliated Hospital of Fujian Medical University, Bayiqi Middle Road No. 15 Nearby, Fuzhou, 350000, China.
Huifen ZhongDepartment of Ophthalmology, The First Affiliated Hospital of Fujian Medical University, Bayiqi Middle Road No. 15 Nearby, Fuzhou, 350000, China.
Weidong ZhengDepartment of Ophthalmology, The First Affiliated Hospital of Fujian Medical University, Bayiqi Middle Road No. 15 Nearby, Fuzhou, 350000, China. wdzheng@fjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective study aimed to evaluate the efficacy of the prism and Maddox rod test (PMT) in determining surgical targets for small-angle acute acquired concomitant esotropia (AACE). Thirty-three patients with small-angle AACE who underwent surgical treatment at the First Affiliated Hospital of Fujian Medical University from June 2017 to May 2023 were included. All patients underwent various tests, including the Hirschberg test (HT), PMT, and prism and alternative cover test (PACT). PACT measured the minimum value (PACTmin) and the maximum value (PACTmax) based on different interpretation criteria for examination endpoint. PMT results were used as the surgical target. Unilateral medial rectus recession (MRrec) was performed on all patients, and postoperative follow-up lasted up to 6 months to evaluate deviation angle and binocular vision. Both near and distance measurements from PMT were 23.67 ± 5.44 PD and 24.82 ± 5.49 PD, respectively, which were comparable to PACTmax (23.06 ± 2.65 PD and 23.58 ± 2.35 PD) and significantly higher than PACTmin (15.18 ± 5.12 PD and 15.24 ± 5.06 PD; P < 0.001). Post-surgery, the mean deviation angles for distance and near viewing were reduced to 0.73 ± 1.69 PD and 0.61 ± 1.35 PD (PMT and PACTmin, respectively). All patients achieved excellent surgical outcomes, with no noticeable deviation angles, diplopia disappearance, and restoration of normal binocular vision. Our study demonstrates that PMT serves as a reliable and practical method for determining surgical targets in patients with small-angle AACE. The results highlight its accuracy and consistency in measuring deviation angles, which can effectively guide unilateral MRrec.

Indexed as

EsotropiaOphthalmologic Surgical ProceduresVision TestsAdolescentAdultChildFemaleHumansMaleMiddle AgedOculomotor MusclesRetrospective StudiesTreatment OutcomeVision, BinocularYoung AdultAcute acquired concomitant EsotropiaPrism and Maddox rod testSmall-angleSurgical target

Identifiers

PMID40087369
PMCPMC11909116

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