2013, Number 4
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Cir Cir 2013; 81 (4)
Variations in Posner´s test for diagnosis of dissociated strabismus
González-González JM, Arroyo-Yllanes ME, Pérez-Pérez JF
Language: Spanish
References: 16
Page: 293-298
PDF size: 402.42 Kb.
ABSTRACT
Background: A particular feature of dissociated strabismus is that
the frequency of presentation and its magnitude is variable. It is
common to find that in certain examinations is very obvious, and in
others not so much. To facilitate exploration some maneuvers are
described: Bielchowsky’s maneuver, Bielchowsky’s phenomenon
and Posner test.
Objective: to compare the presence and magnitude of the ocular
movement in dissociated strabismusin Posner’s Test using opaque
versus translucent occluders.
Methods: Prospective, transversal, descriptive study. Patients
with diagnosis of were included. Posner's test in two ways:
1)
With opaque occluders, and
2) with translucent occluders was
perforned.
Results: Ninety five percent of the patients presented horizontal
deviation. Posner´s Test with opaque occluderwas positive in
all cases (100%). Posner´s test with translucent occluderswas
positive in 94% of the patients (
p= 8). The magnitude of the
ocular movement was significantly smaller using translucent
occludersthan opaque occluders. (
p= 0.0001).
Conclusions: The Posner´s test using opaque occluderswas
more efective to demonstrate clearly and precisely the size of the
ocular movement in dissociated strabismus.
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