What does Maddox Wing test?

The Maddox Wing test is a Handheld device used to measure heterophoria at near. It consists of a septum and two slit apertures, one for each eye. As the two retinal images are quite different there is no attempt at fusion and the eyes stay in the passive position.

How does Maddox Wing work?

The Maddox Wing measures the size of heterophorias (latent deviations) and small heterotropias (manifest deviations) at near when normal retinal correspondence (NRC) is present. It is especially helpful when patients present with symptoms of diplopia (double vision) with no apparent cause.

What is Maddox rod used for?

The Maddox rod test can be used to subjectively detect and measure a latent, manifest, horizontal or vertical strabismus for near and distance. The test is based on the principle of diplopic projection.

What does Heterophoria mean?

Medical Definition of heterophoria : latent strabismus in which one eye tends to deviate either medially or laterally — compare exophoria.

What is Hess screen test?

The three-dimensional Hess screen test with binocular dual search coils in a three-field magnetic system is an objective method to assess the ocular alignment in three dimensions with high precision. From these recordings, the clinician can relate deviations of primary position to specific eye muscle palsies.

What is the abnormal retinal correspondence?

Background: Anomalous retinal correspondence (ARC) is a neural adaptation to eye misalignment in which non-corresponding retinal points are linked in the visual cortex to provide binocular fusion.

How do you test for heterophoria?

The Neuro Visual Examination used to test for vertical heterophoria involves a 2-3 hour process that utilizes state-of-the-art equipment to measure minuscule misalignments in your eyes that a typical eye exam would usually not be able to detect.

How do you detect heterophoria?

The cross-cover test, or alternating cover test is usually employed to detect heterophoria. One eye is covered, and then the cover is moved immediately over to the other eye. With heterophoria, when the cover is moved to the other eye, the eye that has just been uncovered can be seen to move from a deviated point.

What is a forced duction test?

Definition. The forced duction test is a test of extraocular muscle (EOM) function that can be used to differentiate between EOM weakness (i.e., paresis) and restriction (e.g., entrapment, enlargement, infiltration, or fibrosis of muscle).

How are heterophorias measured in the maddox wing?

A third arrow located to the right and below the horizontal white scale is used to measure torsion The Maddox Wing measures the size of heterophorias (latent deviations) and small heterotropias (manifest deviations) at near when normal retinal correspondence (NRC) is present.

What is the purpose of the maddox wing test?

Description Of Item: The Maddox Wing test is a test of near heterophoria. It uses vertical and horizontal prism dioptre tangent scales viewed from a fixed distance of 29 cm.

Where are the lenses placed on the maddox wing?

In the event that correction cannot be worn due to the obstruction of vision through the eye piece, lenses may be placed within the lens holder before each eye. The examiner instructs the patient to hold the Maddox Wing and identify the number that the white (vertical arrow) and red (horizontal arrow) arrows point to on their respective scales.

What’s the best way to measure degree of heterophoria?

Maddox tangent scale placed at one meter or five meters may be used to measure degree of heterophoria directly from the scale. Maddox wing test: This is used to measure degree of heterophoria at near fixation.