Análisis de fiabilidad y concordancia entre 5 métodos subjetivos de medición de la torsión ocular

  1. C. Llorente-La Orden 1
  2. E. Hernández-García 1
  3. E. Díaz-Isabel 2
  4. B. Burgos-Blasco 1
  5. L. Morales-Fernández 1
  6. P. Merino-Sanz 3
  7. R. Gómez de Liaño-Sánchez 12
  1. 1 Departamento de Oftalmología, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, España
  2. 2 Centro Oftalmológico Gómez de Liaño, Madrid, España
  3. 3 Sección de Motilidad Ocular, Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España
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Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Any de publicació: 2022

Volum: 97

Número: 8

Pàgines: 450-456

Tipus: Article

DOI: 10.1016/J.OFTAL.2021.12.002 DIALNET GOOGLE SCHOLAR

Altres publicacions en: Archivos de la Sociedad Española de Oftalmologia

Resum

Objective To evaluate the reliability in the measurement of ocular torsion and the agreement of the following subjective methods: double Maddox test, synoptophore, Gracis torsionometer, Harms screen and Awaya cyclodeviation test. Method Patients with vertical strabismus acquired in adulthood were recruited and ocular torsion was measured with the 5 methods described on 3 occasions. As a gold standard test does not exist, the one that obtained the best repeatability data was chosen as the reference test. Results Twenty-five patients were included in the study. The repeatability of each test was studied: double Maddox test (ICC = 0.783, CV = 29.33%), synoptophore (ICC = 0.976, CV = 6.71%), Gracis torsionometer (ICC = 0.937, CV = 20.10%), Harms screen (ICC = 0.962, CV = 11.86%) and Awaya test (ICC = 0.987, CV = 52.58%). The reference test to compare the agreement was the synoptophore. Statistically significant differences were found when comparing the ocular torsion ranges between the synoptophore and the Gracis torsionometer (P = .008) and between the synoptophore and the Awaya test (P = .02). Conclusions The double Maddox test, the synoptophore, the Gracis torsionometer, and the Harms screen are reliable methods with good reproducibility indices. Among them, the synoptophore is the most consistent method. The Awaya test did not show good reliability. The bilateral Maddox test, the Gracis torsionometer, and the Harms screen were methods with good agreement with the synoptophore, which was determined as the reference test. The Awaya test did not show good agreement with the synoptophore.

Fuente de los datos: Dialnet