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A cover test can tell you the extent of the eso/exo-tropia. Individuals can suffer from several tropias at once. In Graves ophthalmopathy , it is not uncommon to see an esotropia (due to pathology of the medial rectus muscle ) co-morbid with a hypotropia (due to pathology of the inferior rectus muscle ).
A positive test is defined by excessive upward excursion followed by downward drift of the upper eyelid immediately after the eye opens, in similar fashion to Cogan's lid twitch sign. The test is negative if the upper eyelid position remains stable when the eye opens. A positive test is consistent with a diagnosis of OMG.
Schirmer test = 0,00 in Sjögren's syndrome. The test works by the principle of capillary action, which allows the water in tears to travel along the length of a paper test strip in an identical fashion as a horizontal capillary tube. The rate of travel along the test strip is proportional to the rate of tear production.
If your eyelids are droopy and you occasionally see double, you may have ophthalmoplegia.
A swinging-flashlight test may also be desirable if neurologic damage is suspected. The swinging-flashlight test is the most useful clinical test available to a general physician for the assessment of optic nerve anomalies. This test detects the afferent pupil defect, also referred to as the Marcus Gunn pupil. It is conducted in a semidarkened ...
The prism cover test (PCT) is an objective measurement and the gold standard in measuring strabismus, i.e. ocular misalignment, or a deviation of the eye. [1] It is used by ophthalmologists, orthoptists, and optometrists in order to measure the vertical and horizontal deviation and includes both manifest and latent components. [ 1 ]
The test is based on the principle of diplopic projection. [1] Dissociation of the deviation is brought about by presenting a red line image to one eye and a white light to the other, while prisms are used to superimpose these and effectively measure the angle of deviation (horizontal and vertical).
Because the BSGT is performed in well-lit conditions it has a lesser dissociative effect on the eyes, giving truer results than other tests such as the Worth 4 light test. Disadvantages. Extraneous light sources during testing can cause patient confusion. It is a subjective test, relying on the patients responses.