Abstract
Purpose
To determine the accuracy of manual compass measurement and trigonometric determination of proptosis (MCMATDP).
Methods
This agreement study included 120 eyes without eye diseases or injury of 60 patients who visited the ophthalmic clinic of Peking University Shenzhen Hospital from February 2020 to June 2020. The absolute values of proptosis were measured by MCMATDP and computed tomography (CT). The differences between the two methods were shown by Bland–Altman plot.
Results
The cohort comprised 25 males and 35 females (average age 38.3 years). The absolute value of proptosis measured by CT was correlated with the MCMATDP. Further analysis showed that a 95% limit of agreement (LoA) was − 0.53 to 0.60 mm in the right eye and − 0.46 to 0.55 mm in the left eye between CT and MCMATDP. In addition, the 95% LoA was − 0.49 to 0.60 mm in both eyes between the two methods. All points were < 5% in Bland–Altman plots.
Conclusions
Compared to CT, MCMATDP is rather consistent in proptosis measurement. The new method is feasible in clinical practice when measuring proptosis. With the development of non-contact intelligent measurement software and the continuous improvement in measurement accuracy, a non-invasive, simple, and inexpensive measurement mode is true based on the theory of MCMATDP.
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Data availability
Available on request.
References
Nkenke E, Maier T, Benz M et al (2004) Hertel exophthalmometry versus computed tomography and optical 3D imaging for the determination of the globe position in zygomatic fractures. Int J Oral Maxillofac Surg 33(2):125–133. https://doi.org/10.1054/ijom.2002.0481
Genders SW, Mourits DL, Jasem M et al (2015) Parallax-free exophthalmometry: a comprehensive review of the literature on clinical exophthalmometry and the introduction of the first parallax-free exophthalmometer. Orbit 34(1):23–29. https://doi.org/10.3109/01676830.2014.963877
Segni M, Bartley GB, Garrity JA et al (2002) Comparability of proptosis measurements by different techniques. Am J Ophthalmol 133(6):813–818. https://doi.org/10.1016/s0002-9394(02)01429-0
Lam AK, Lam CF, Leung WK et al (2009) Intra-observer and inter-observer variation of Hertel exophthalmometry. Ophthalmic Physiol Opt 29(4):472–476. https://doi.org/10.1111/j.1475-1313.2008.00617.x
Kashkouli MB, Nojomi M, Parvaresh MM et al (2008) Normal values of hertel exophthalmometry in children, teenagers, and adults from Tehran. Iran Optom Vis Sci 85(10):1012–1017. https://doi.org/10.1097/OPX.0b013e3181890dc7
Mourits MP, Lombardo SH, van der Sluijs FA et al (2004) Reliability of exophthalmos measurement and the exophthalmometry value distribution in a healthy Dutch population and in Graves’ patients. An exploratory study Orbit 23(3):161–168. https://doi.org/10.1080/01676830490504089
Sleep TJ, Manners RM (2002) Interinstrument variability in Hertel-type exophthalmometers. Ophthalmic Plast Reconstr Surg 18(4):254–257. https://doi.org/10.1097/00002341-200207000-00004
Vardizer Y, Berendschot TT, Mourits MP (2005) Effect of exophthalmometer design on its accuracy. Ophthalmic Plast Reconstr Surg 21(6):427–430. https://doi.org/10.1097/01.iop.0000180066.87572.39
Beden U, Ozarslan Y, Ozturk HE et al (2008) Exophthalmometry values of Turkish adult population and the effect of age, sex, refractive status, and Hertel base values on Hertel readings. Eur J Ophthalmol 18(2):165–171. https://doi.org/10.1177/112067210801800201
Kim IT, Choi JB (2001) Normal range of exophthalmos values on orbit computerized tomography in Koreans. Ophthalmologica 215(3):156–162. https://doi.org/10.1159/000050850
Zhang W, Zeng J, Huang Q et al (2021) The feasibility analysis of calculating proptosis by simple Pythagorean theorem. Eur J Ophthalmol 31(2):397–404. https://doi.org/10.1177/1120672120901704
Barrett GD (1993) An improved universal theoretical formula for intraocular lens power prediction. J Cataract Refract Surg 19(6):713–720. https://doi.org/10.1016/s0886-3350(13)80339-2
Davanger M (1970) Principles and sources of error in exophthalmometry. A new exophthalmometer Acta Ophthalmol (Copenh) 48(4):625–633
Musch DC, Frueh BR, Landis JR (1985) The reliability of Hertel exophthalmometry Observer variation between physician and lay readers. Ophthalmology 92(9):1177–1180. https://doi.org/10.1016/s0161-6420(85)33880-0
Pereira TS, Kuniyoshi CH, Leite CA et al (2020) A comparative study of clinical vs. digital exophthalmometry measurement methods. J Ophthalmol. https://doi.org/10.1155/2020/1397410
Nkenke E, Benz M, Maier T et al (2003) Relative en- and exophthalmometry in zygomatic fractures comparing optical non-contact, non-ionizing 3D imaging to the Hertel instrument and computed tomography. J Craniomaxillofac Surg 31(6):362–368. https://doi.org/10.1016/j.jcms.2003.07.001
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Zhang, W., Zeng, J., Chen, Y. et al. Manual compass measurement and trigonometric determination of proptosis. Int Ophthalmol 43, 4443–4450 (2023). https://doi.org/10.1007/s10792-023-02819-7
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DOI: https://doi.org/10.1007/s10792-023-02819-7