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Modified Krimsky test for irregular scarred corneas.

Harindersingh Sethi1, Mayuresh Naik2,3, Mukesh Joshi1

  • 1Department of Ophthalmology, V.M.M.C & Safdarjung Hospital, Ring Road, Ansari Nagar, New Delhi, 110029, India.

International Ophthalmology
|November 10, 2016
PubMed
Summary

This study presents a modified Krimsky test to accurately measure eye deviation in strabismus patients with irregular corneas. This innovation aids in precise diagnosis and treatment planning for challenging cases.

Keywords:
Cosmetic correction of squintIrregular scarred corneasKrimsky test

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Area of Science:

  • Ophthalmology
  • Strabismus Diagnosis
  • Corneal Pathology

Background:

  • Accurate measurement of eye deviation is crucial for strabismus diagnosis and treatment planning.
  • The standard Krimsky test is limited in patients with corneal opacities, hindering accurate deviation measurement.
  • Difficulties arise in visualizing corneal reflexes due to scarred or irregular corneas.

Purpose of the Study:

  • To present a modified Krimsky test for measuring strabismus deviation.
  • To overcome limitations of the original Krimsky test in patients with irregular or opaque corneas.
  • To improve diagnostic accuracy for strabismus in challenging corneal conditions.

Main Methods:

  • Modification of the original Krimsky test procedure.
  • Application of the modified test in patients with scarred and irregular corneas.
  • Evaluation of the test's efficacy in determining eye deviation.

Main Results:

  • The modified Krimsky test successfully measured eye deviation in patients with irregular opaque corneas.
  • The technique proved effective where the original Krimsky test was not feasible.
  • Improved ability to assess deviation despite poor visibility of corneal reflexes.

Conclusions:

  • The modified Krimsky test is a valuable tool for strabismus assessment in patients with corneal irregularities.
  • This modification expands the utility of the Krimsky test for a wider patient population.
  • Accurate deviation measurement is achievable even with significant corneal pathology, aiding therapeutic decisions.