J Korean Ophthalmol Soc > Volume 53(7); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(7):924-928.
DOI: https://doi.org/10.3341/jkos.2012.53.7.924    Published online July 15, 2012.
Usefulness of Exophthalmos Measurement on Upgaze.
Yeon Hee Lee, Jong Eun Lee, Haeng Jin Lee, Sung Bok Lee
1Department of Ophthalmology, Chungnam National University School of Medicine, Daejeon, Korea. sblee@cnu.ac.kr
2Research Institute for Medical Sciences, Chungnam National University, Daejeon, Korea.
상방주시 때 측정한 안구돌출계측치의 유용성
이연희1,2⋅이종은1⋅이행진1⋅이성복1,2
Department of Ophthalmology, Chungnam National University School of Medicine1, Daejeon, Korea
Research Institute for Medical Sciences, Chungnam National University 2, Daejeon, Korea
Abstract
PURPOSE
To evaluate the usefulness of exophthalmos measurement on upgaze in patients who are not able to expose corneal vertex on primary gaze. METHODS: The present study included 39 patients with blow out fracture, pseudotumor, or thyroid associated ophthalmopathy and 21 people who don't have any ocular disease. In total, 60 people had exophthalmometry using Hertel exophthalmometer on the basis of corneal vertex, inferior limbus, and inferior sclera by three examiners. RESULTS: The relative exophthalmometry in normal group was 0.71 +/- 0.75 mm, 0.67 +/- 0.62 mm, and 0.69 +/- 0.60 mm on the basis of corneal vertex, inferior limbus, and inferior sclera, respectively. The relative exophthalmometry in exophthalmic group was 1.10 +/- 0.99 mm, 1.13 +/- 0.99 mm, 1.10 +/- 0.91 mm on the basis of corneal vertex, inferior limbus, and inferior sclera, respectively. The relative exophthalmometry in enophthalmic group was 0.79 +/- 0.90 mm, 0.74 +/- 0.92 mm, 0.74 +/- 0.87 mm on the basis of corneal vertex, inferior limbus, and inferior sclera, respectively. There was no statistically significant difference between different measuring points (p > 0.05). The inter-examiner reproducibility was shown to be highly reliable. CONCLUSIONS: The upgaze exophthalmometry on the basis of inferior limbus or inferior sclera would be useful in the patients who are not able to expose corneal vertex on primary gaze.
Key Words: Hertel exophthalmometry;Reproducibility;Upgaze exophthalmometry


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