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Validation of Modified Hertel Exophthalmometer
Rizwana Fathima Jamal1, Emmanuel Azariah1, Deepak Pandyan1
1Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
A modified Hertel exophthalmometer shows no significant difference in normative values compared to the standard version. This validated modification is useful for assessing globe position and orbital volume, especially in trauma cases.
Area of Science:
- Ophthalmology
- Medical Instrumentation
- Maxillofacial Surgery
Background:
- The Hertel exophthalmometer is a standard instrument for measuring ocular protrusion.
- Modifications to medical devices are often necessary to improve functionality or adapt to specific clinical scenarios.
- Validating such modifications is crucial for reliable clinical application.
Purpose of the Study:
- To establish normative values using a modified Hertel exophthalmometer.
- To compare measurements between the modified and standard Hertel exophthalmometer.
- To statistically analyze the correlation of measurements and assess differences based on age and gender.
Main Methods:
- A correlation study involving 100 volunteers.
- Measurements were taken using both standard and modified Hertel exophthalmometers by a single observer.
- Statistical analysis was performed to compare values and assess correlations with age and gender.
Main Results:
- No statistically significant differences were found in normative data between the standard and modified Hertel exophthalmometers.
- Measurements showed no significant variation in relation to age or gender.
Conclusions:
- The modification of the Hertel exophthalmometer is validated for clinical use.
- The modified instrument is suitable for relative exophthalmometry, treatment assessment, and intraoperative evaluation of globe position.
- It is particularly useful in cases of fractured or displaced lateral orbital walls due to trauma.
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