College of Osteopathic Medicine Faculty Articles

Title

Maximal angle of duction during visual fixation as a function of age

ISBN or ISSN

0927-3972

Publication Title

Strabismus

Volume

13

Issue

1

Date of original Performance / Presentation

March 2005

Publication Date / Copyright Date

3-1-2005

First Page

21

Last Page

26

Abstract

PURPOSE: To measure and compare the maximum angle of ocular duction in healthy individuals as a function of age. METHODS: A calibrated arc perimeter was modified to display one of six randomly presented targets (high contrast Snellen equivalent letters), in both vertical (supra/infraduction) and horizontal (ab/adduction) gaze to the dominant eye of 204 healthy volunteers with best-corrected visual acuity. A bite-bar and headrest were employed to prevent head movement. Using a modified method of limits for discrimination threshold, a maximum mean angle of ocular duction was determined by stepping a target out in 5 degrees steps until an error was reported and thereafter bracketing around the limits of the target identification in 1 degrees steps. A mean threshold value was determined as the angle at which a subject obtained a correct response 75% of the time in two and as many as the trails in each of the four randomly presented directions of gaze (abduction, adduction, supraduction and infraduction). RESULTS: A decrease in mean maximum duction angle was found over all age groups in al four directions (p < 0.001), with a step decline beginning in the sixth decade and almost doubling in the oldest age group tested (80-95 years-olds). The percent change in mean maximum angle of duction due to age from the 14-19 to the 80-95 year-olds was: abduction 21%, adduction 24%, supraduction 35%, infraduction 26%. CONCLUSION: Baseline data are useful to differentiate normal changes occurring with age from early signs of disease. AdditIonally, disease progression and effects of treatment can be monitored.

Disciplines

Medical Specialties | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy

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