Scribd Logo
Upload

Welcome to Scribd!

  • 396 views

    Themaddoxrodtest PDF

    Uploaded by

    dechastra
    1. The Maddox Rod Test uses a Maddox rod placed in front of a patient's eye along with bar or loose prisms to measure horizontal or vertical deviations. It can detect a phoria or tropia but cannot differentiate between the two. 2. When performing the test, the direction of the red line seen by the patient is perpendicular to the direction of the red cylinders in the Maddox rod. 3. The test involves having the patient view a red line and white light through the Maddox rod. Prisms are used to align the light on

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Themaddoxrodtest PDF

    Uploaded by

    dechastra
    396 views4 pages
    1. The Maddox Rod Test uses a Maddox rod placed in front of a patient's eye along with bar or loose prisms to measure horizontal or vertical deviations. It can detect a phoria or tropia but cannot differentiate between the two. 2. When performing the test, the direction of the red line seen by the patient is perpendicular to the direction of the red cylinders in the Maddox rod. 3. The test involves having the patient view a red line and white light through the Maddox rod. Prisms are used to align the light on

    Original Title

    themaddoxrodtest.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1. The Maddox Rod Test uses a Maddox rod placed in front of a patient's eye along with bar or loose prisms to measure horizontal or vertical deviations. It can detect a phoria or tropia but cannot differentiate between the two. 2. When performing the test, the direction of the red line seen by the patient is perpendicular to the direction of the red cylinders in the Maddox rod. 3. The test involves having the patient view a red line and white light through the Maddox rod. Prisms are used to align the light on

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    396 views4 pages

    Themaddoxrodtest PDF

    Uploaded by

    dechastra
    1. The Maddox Rod Test uses a Maddox rod placed in front of a patient's eye along with bar or loose prisms to measure horizontal or vertical deviations. It can detect a phoria or tropia but cannot differentiate between the two. 2. When performing the test, the direction of the red line seen by the patient is perpendicular to the direction of the red cylinders in the Maddox rod. 3. The test involves having the patient view a red line and white light through the Maddox rod. Prisms are used to align the light on

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4
    At a glance
    Powered by AI
    The passage discusses the Maddox Rod Test, which is used to measure ocular alignment and deviations such as phorias and tropias. It cannot differentiate between a phoria and tropia on its own.

    The Maddox Rod Test is used to measure ocular alignment and deviations such as esophorias, exophorias, hypophorias, and hyperphorias.

    To determine the direction of deviation, you observe whether the white light is to the left or right of the red line for horizontal deviations, and above or below for vertical deviations. This indicates whether the deviation is exo, eso, hyper, or hypo.

    Journal of Ophthalmic Medical Technology

    Volume 2, Number 2
    June 2006
    www.JOMTonline.com

    The Maddox Rod Test

    Suzanne Hansen, COMT

    Instructor,
    College of Health Related Professions
    Department of Ophthalmic Technologies
    Harvey & Bernice Jones Eye Institute
    University of Arkansas for Medical Sciences

    The Maddox Rod Test is a type of dissimilar image test for ocular alignment. This
    subjective test requires one Maddox rod to be placed in front of the patients eye. Bar or
    loose prisms can be used to quantitate a horizontal or vertical deviation. It is important to
    remember that this test will not differentiate between the presence of a phoria or tropia;
    only the cover-uncover test can determine if a phoria or tropia is present.
    1


    The COMT Performance Areas lists the Maddox Rod Test as one of the potential skills a
    candidate may be required to perform for the COMT Performance Test.
    2

    When measuring a phoria using a Maddox rod and bar or loose prisms, the direction of
    the red line viewed by the patient is perpendicular to the direction of the red cylinders.

    If Maddox rod is held horizontally a vertical line results (use this orientation to
    measure for esophoria and exophoria)



    OD OS


    If Maddox rod is held vertically a horizontal line results (use this orientation to
    measure for hypophoria and hyperphoria)



    OD OS






    Steps:
    3,4
    1. Patient wears best corrected Rx
    2. Maddox rod is held in front of patients eye (select to measure the horizontal or
    vertical deviation first)
    3. Transilluminator is focused on the midline of the patients face
    4. Explain to patient: You will see a red line and a white dot. Is the dot
    superimposed on the red line?
    - If the patent answers Yes, the dot is superimposed on the line, then no
    deviation is present (proceed in checking the other orientation)
    - If the patent answers No, the dot is not superimposed on the line, then a
    deviation is present (proceed with identifying and quantifying the deviation by
    holding up loose prisms in the proper orientation until the dot is superimposed on
    the line)


    How do you determine which direction to hold your prisms to quantify the horizontal
    deviation? (Assume Maddox rod is placed over patients OD.)

    OD OS





    If your patient sees: = No deviation
    the white light superimposed on the red line



    If your patient sees: = Exo deviation (use BI
    the red line to the left, white light prism to quantify)
    on right side




    If your patient sees: = Eso deviation (use BO
    the red line to the right, white light prism to quantify)
    to the left side








    How do you determine which direction to hold your prisms for vertical deviation?
    (Assume Maddox rod is placed over patients OD.)
    OD OS




    If your patient sees: = No deviation
    the white light
    superimposed on the red line


    If your patient sees: = Rh deviation (use BD OD
    red line is above the white light prism to quantify, may be
    recorded as LH deviation)


    If your patient sees: = RH deviation (use BU
    red line is below the white light prism to quantify)


    Once the deviation is identified, bar or loose prisms are held in front of the Maddox
    rod until the line is centered on the light. This prism power equals the amount of
    phoria or deviation present.
    4
    Results should be recorded with this prism diopter
    amount and the ocular deviation identified. Example: 10

    RH (by Maddox Rod Test),


    a 10 prism diopter right hyperphoria is found when the subjective test is performed at
    near or 33 cm (the prime indicates the test is performed at near). The test can be
    performed at 6 m and at 33 cm. The patients visual acuity must be sufficient to see
    the light with one eye and the line with the other eye to perform test.
    4
    This test also
    requires good patient cooperation for adequate results.

    Clinically, this test is rarely performed and not the preferred method for quantifying
    ocular misalignment as some of the objective cover tests such as the prism alternate
    cover test. However, this test may be very helpful for quickly verifying prescribed
    prism for glasses.


    References:

    1
    Basic and Clinical Science Course: Pediatric Ophthalmology and Strabismus.
    American Academy of Ophthalmology, 2005.

    2
    Criteria for Certification & Recertification. Joint Commission on Allied Health
    Personnel in Ophthalmology, Inc., 2005.

    3
    Stein, HA, et. al. The Ophthalmic Assistant: A Guide for Ophthalmic Medical
    Personnel. 7
    th
    ed., Mosby, Inc., 2000.

    4
    Von Noorden, Gunter. Atlas of Strabismus. C.V. Mosby Company, 4th edition,
    1983.

    You might also like