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Study of the Angle Lambda and Ocular Dominance

Completed
Conditions
No Eye Disorder
Interventions
Other: Eye examination
Registration Number
NCT05613517
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Brief Summary

Anatomical ophthalmological connections and their dynamics are still debated in the scientific community. However, their considering is essential in many surgeries (strabismus, cataract, refractive...) or in clinical practice.

The correlation between these biometric values would make it possible to refine the knowledge related to these landmarks and thus offer better ophthalmological management by integrating these variables into the clinical examination.

The aim of the study is to analyze the correlation between the angle lambda and the ocular dominance depth in healthy individuals without ophthalmologic disorder.

Then, seconds goals were defined as the study of the relation between the value of the angle lambda and the fixation disparity quantified with the Rousseau test.

Relation between ocular dominance measured with the Guillon's test and the Hole-in-car test will also studied.

Detailed Description

The angle lambda corresponds to the angle formed by the pupillary axis (line passing through the center of the pupil and perpendicular to the cornea) and the line of sight (broken line between the fixation point and the fovea and passing through the center of the pupil entrance). The angle kappa corresponds to the angle between the visual axis (line between the point of fixation and the fovea: area of the retina allowing precise vision) and the pupillary axis.

The angle lambda and the angle kappa are very close, which is why the lambda angle is often equated with the kappa angle, both in practice and in the literature.

The literature reports a non-null angle kappa ranged between 1.91° ± 0.14° and 5.73° ± 0.10° in the general population. Also, studies have reported a significantly greater angle on the left eye compared to the right eye. Moreover - because of the interpupillary difference - each eye perceives the same image from a different angle, resulting in a fixation disparity, defined as the angle of the residual deviation of the visual axes when the subject fixes and binocularly merges an image. In some cases, too high a value of the disparity can lead to a fixation disorder requiring orthoptic treatment.

Anatomical ophthalmological connections and their dynamics are still debated in the scientific community. However, their considering is essential in many surgeries (strabismus, cataract, refractive...) or in clinical practice.

The correlation between these biometric values would make it possible to refine the knowledge related to these landmarks and thus offer better ophthalmological management by integrating these variables into the clinical examination.

The aim of the study is to analyze the correlation between the angle lambda and the ocular dominance depth and the fixation disparity in a healthy population without ophthalmologic disorder.

Then, seconds goals were defined as the study of the relation between the value of the angle lambda and the fixation disparity quantified with the Rousseau test.

Relation between ocular dominance measured with the Guillon's test and the Hole-in-car test will also studied.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
76
Inclusion Criteria
  • Informed major subject not opposing to their participation in the study
Exclusion Criteria
  • Subject with strabismus or organic ophthalmologic pathology
  • Or presenting a visual acuity lower than 10/10th
  • Or with a history of eye surgery

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Healthy individualEye examinationHealthy individual without eye disorder.
Primary Outcome Measures
NameTimeMethod
Ocular dominance depthDay 0

Guillon's and Hole-In-Card tests.

Value of the angle lambdaDay 0

Semi-automatic digital method of measurement by eye photograph.

Secondary Outcome Measures
NameTimeMethod
Method using corneal topographyDay 0

Compare the values of the lambda angle obtained using the semi-automatic method of measurement by ocular photography and the method using corneal topography.

Guillon testDay 0

Ocular dominance.

Fixation disparityDay 0

Rousseau test.

Ocular dominance measurements quantified by the Hole-in-the-card methodDay 0

Ocular dominance.

Semi-automatic method of measurement by ocular photographyDay 0

Compare the values of the lambda angle obtained using the semi-automatic method of measurement by ocular photography and the method using corneal topography.

Trial Locations

Locations (1)

Hôpital Necker-Enfants Malades

🇫🇷

Paris, France

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