Assessment of extraocular muscle motility in patients with concomitant and non-concomitant strabismus with vertical component using automated analysis of two-dimensional eye globe pictures in diagnostic gaze positions

Authors

  • D. V. Romanenko State Institution The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine, Odessa, (Ukraine)
  • N. M. Bushuyeva State Institution The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine, Odessa, (Ukraine)
  • S. Dukhayer State Institution The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine, Odessa, (Ukraine)
  • O. V. Pelypenko State Institution The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine, Odessa, (Ukraine)

DOI:

https://doi.org/10.31288/oftalmolzh201451519

Keywords:

oculomotor muscle, strabismus, automated analysis

Abstract

Background. Existing assessment methods of the extraocular oblique muscle (EOOM) function are subjective ones and difficult to perform. It leads to inaccurate diagnosis and errors during surgery planning.

Purpose. To examine extraocular muscle motility in patients with concomitant and non-concomitant strabismus with a vertical component using developed method of automated analysis of two-dimensional eye globe pictures in the diagnostic gaze positions. Material and methods. 60patients with strabismus and vertical component were examined. EOOM function was assessed in the adduction position using the developed method and conventional ones: 1) Wright K. E. method where squinting eye angle of the optic axis deviation from horizontal line is assessed; 2) Alazme A. method where squinting eye vertical deviation is assessed in degrees by Hirschberg test. Results. The developed method accurately assessed EOOM function in patients with concomitant and non-concomitant strabismus with a vertical component. Cluster analysis sorted out 3 degrees of EOOM dysfunction, which correlated with conventional diagnostic methods data in 66.6—80 % of cases.

Conclusion. The developed method of automated analysis of the extraocular muscle function simplified and objectified examination of the oblique muscle dysfunction in strabismus patients. 

References

1. Avetisov ES, Kashchenko TP, Smolyaniniva IL, Alazme A et al. Surgical treatment of strabismus with the failure of the superior oblique: a manual for physicians. M.: Mosk. NII glaznykh boleznei im. Gelmgoltsa; 1996. 9 p.

2. Avetisov ES, Rozenblum YuZ, Kashchenko TP et al. Guide­lines for the use of prismatic elements of spectacle correction: a manual for physicians. M.: Mosk. NII glaznykh boleznei im. Gelmgoltsa; 1987. 22 p.

3. Alazme A. Clinical features and treatment of strabismus with the failure of the superior oblique: author's thesis for Candidate of Med. Science: 14.00.08 «Eye Diseases*. Moscow; 1992. 20 p.

4. Bushueva NN, Romanenko DV, Pelipenko EV. Assessment of the state of oculomotor apparatus of healthy persons by automatized analysis of two-dimentional images of the eyeballs in diagnostic gaze positions. Oftalmol Zh. 2014;2:4-9. https://doi.org/10.31288/oftalmolzh2014249

5. Kashchenko TP, Pospelov VI, Shapovalov SL. Problems of oculomotor and binocular pathology. Proceedings of VIII Congress of Ophthalmologists of Russia. 1-4 June 2005. M.; 2005. 740- 1.

6. Kopaieva VG. Eye Diseases. M.: Meditsina; 2002. 387- 9.

7. Bushueva NM, Romanenko DV, Pelipenko OV. Patent 62260 Ukraine, MPK (01.2011) A 61 B 3/00. Method for determining the angle of strabismus. SI «The Filatov In­stitute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine» № 201015549; appl. 23.12.2010 ; publ. 25.08.2011, Bul. № 16.

8. Coats DK. Reasons for delay of surgical intervention in adult strabismus. Arch. Ophthalmol. 2005;123 (4): 497- 9.https://doi.org/10.1001/archopht.123.4.497

9. Lee DA, Higginbotham EJ. Clinical Guide to Comprehensive Ophthalmology. New York : Thieme; 1999. 727 p.

10. Wright KW, Spiegel PH. Pediatric Ophthalmology and Strabismus, 2nd edition. York: Springer-Verlag; 2003. 782 p.https://doi.org/10.1007/978-0-387-21753-6

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Published

2014-10-30

Issue

No. 5 (2014): Journal of Ophthalmology (Ukraine)

Section

Clinical Ophthalmology

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Copyright (c) 2014 Д. В. Романенко, Н. Н. Бушуева, Ш. Духаер, Е. В. Пелипенко

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