Subjectively quantified Maddox rod testing improves diagnostic yield over alternate cover testing alone in patients with diplopia.
Subjectively quantified Maddox rod testing improves diagnostic yield over alternate cover testing alone in patients with diplopia.
复制标题
对于复视患者，主观量化的马多克斯杆测试比单独的替代覆盖测试提高了诊断率。
DOI：
10.1016/j.jocn.2009.10.002
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
Rizzo3rd,JosephF
中科院分区：
文献类型：
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作者：
Newman-Toker,DavidE;Rizzo3rd,JosephF
我们的目的是评估主观量化的红色马多克斯棒检测在复视或疑似斜视患者中的附加诊断价值。在9个多月的时间里，我们在一个学术神经眼科单位的横断面研究中比较了眼部排列测量（检查、交替覆盖、马多克斯棒）与最终解剖和病因学诊断的临床记录。77例连续患者（98次就诊）符合研究标准。平均年龄54岁（范围11 - 100岁）。大多数就诊（73%）是针对有症状的复视，所有三种矫正措施通常都可获得（92%）。Maddox的发现促使13例患者进行了额外的诊断检查，在3例（4%）患者中得出了重要的新诊断（全身性血管炎；后窝蛛网膜囊肿伴肿块效应；海绵窦肿块）。马多克斯棒试验可以增加临床相关的诊断信息，以获得交替盖试验单独。它的使用可能有助于在评估复视或疑似斜视患者时防止漏诊。
We aimed to assess the added diagnostic value of subjectively-quantified red Maddox rod testing in patients with diplopia or suspected strabismus. Over 9months we compared measures of ocular alignment (inspection; alternate cover; Maddox rod) with final anatomic and etiologic diagnoses using clinical records in a cross-sectional study in an academic neuro-ophthalmology unit. Seventy-seven consecutive patients (98 visits) met study criteria. Mean age was 54years (range 11–100years). Most visits (73%) were for symptomatic diplopia and all three measures of alignment were generally available (92%). Maddox findings prompted additional diagnostic tests for 13 patients, leading to an important new diagnosis (systemic vasculitis; posterior fossa arachnoid cyst with mass effect; cavernous sinus mass) in three patients (4%). Maddox rod testing may add clinically relevant diagnostic information to that obtained by alternate cover testing alone. Its use might help prevent missed diagnoses in the evaluation of patients with diplopia or suspected strabismus.