Routine Care Study Evaluating Ocular Torsion
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 172
- 试验地点
- 1
- 主要终点
- objective ocular torsion
研究概览
简要总结
The paralysis of the fourth cranial nerve (paralysis IV), commonly known as the superior oblique muscle (SO) paralysis, represents half of vertical strabismus. The diagnosis of SO paralysis and of its congenital or acquired etiology, are based on a range of clinical findings. The three main clinical diagnostic elements are the hypertropia in paralyzed side which increases in adducted position, the positivity of Bielschowsky head tilt test and the twisting of the eye fundus. These criteria are always considered together and are interdependent. The diagnostic value and the sensitivity of each of these signs is not defined. Brain and orbital Magnetic Resonance Imaging (MRI) allowed a better understanding of the physiopathology of a number of oculomotor disorders.
For this reason, MRI constitute a reference for the SO palsy. The atrophy of the SO muscle is qualitatively determined by the asymmetry of muscle volume on two contiguous coronal MRI.
The diagnostic value of various clinical signs observed in SO paralysis (sensitivity, specificity) remains unknown.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •For the subjects without oculomotor disorder
- •no diplopia in different positions of gaze;
- •no oculomotor disorder during the orthoptic examination (horizontal phoria <8 prism diopter, vertical phoria <4 prism diopter);
- •corrected visual acuity > 8/10 on both eyes;
- •binocular vision present in Lang I test (defined by 3 elements seen or appointed);
- •orbital MRI: normal oculomotor muscles (including absence of atrophy of the superior oblique muscle) and lack of intra orbital expansive process;
- •brain MRI: no abnormalities in the ways of oculomotor (especially no abnormalities in posterior fossa).
- •For the patients with SO muscle unilateral paralysis
- •clinical features compatible with unilateral paralysis of the SO muscle
- •muscular body atrophy of the SO on the orbital MRI without other orbital or cerebral abnormality
- •binocular vision in Lang I test
排除标准
- •high refractive error (< -6 diopter or >6 diopter);
- •history or current oculomotor disorder or restrictive neurological disorder (dysthyroid orbitopathy, orbital trauma, retinal detachment surgery, paralysis oculomotor palsy other than IV);
- •optic nerve head abnormalities in the fundus (edema for example)
- •lack of binocular vision Lang I test;
- •pregnant or breastfeeding patient
- •patient under legal protection
- •patient opposition to participate in the study
结局指标
主要结局
objective ocular torsion
时间窗: baseline
The angle of objective ocular torsion is measured on a photography of the eye fundus.
次要结局
未报告次要终点