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The Effect of Dissociation on the Sensory Status

Correspondence: Requests for reprints should be addressed to: Patricia F. Jenkins, C.O., UTMB, 301 University, Dept. of Ophthalmology Rt. 106, Galveston, TX 77555-1106.

The sensory status has been studied for many years. Some feel very strongly that Bagolini striated lenses and the Worth 4 Dot test provide vital information regarding patients’ overall ability to maintain fusion and/or alignment. Furthermore, some feel strongly that these tests should be done early in the exam, preferably first, so as not to disturb the patient’s tenuous hold on fusion. There are no known documented studies that compare sensory tests taken at the beginning of the exam to those taken at the end of the motility exam.

Our study found that obtaining sensory results of Bagolini striated lenses and Worth 4 Dot glasses done at the conclusion of the evaluation produce the same or better fusional abilities when these tests are done prior to dissociation.

Key words: sensory status, Bagolini striated lenses, Worth 4 Dot test