Clinical Findings and Surgical Results of Duane Retraction Syndrome

Altıntaş, Ayşe; Arifoğlu, Hasan Basri; Arikan, Mucella; Şimşek, Şaban

doi:10.3928/01913913-20090918-02

Cited by 10 publications

(19 citation statements)

References 20 publications

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“…These findings were consistent with reported rates in the literature. [4][5][6][7][8] However, 96% of patients had fissure-narrowing/globe retraction on adduction, which was higher than reported rates in the literature. [9][10][11][12][13] The majority of our patients were classified as Duane group I (56%) followed by group III (28%) and group II (16%).…”

Section: Discussioncontrasting

confidence: 74%

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Duane syndrome: Clinical features and surgical management

Kalevar

Tone

Flanders

2015

Canadian Journal of Ophthalmology

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Section: Discussioncontrasting

confidence: 74%

“…[4][5][6][7][8]14,15 In our surgical subset of 18 patients (14 type I and 4 type II), the majority had an excellent surgical outcome with significant improvements in AHP and FPP alignment.…”

Section: Discussionmentioning

confidence: 89%

Duane syndrome: Clinical features and surgical management

Kalevar

Tone

Flanders

2015

Canadian Journal of Ophthalmology

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“…Duane retraction syndrome (DRS) is a spectrum of congenital ocular motility disorders characterized by limitation of horizontal duction associated with globe retraction [1][2][3] and consequent narrowing of the palpebral fissure in adduction. 4 DRS is caused by dysinnervation of the extraocular muscles (EOMs) by branches of the oculomotor nerve.…”

Section: Introductionmentioning

confidence: 99%

Contralateral lateral rectus muscle recession in patients with Duane retraction syndrome type 3

Snir

Dotan

Friling

et al. 2013

Eye

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Aims The aim of this study was to evaluate the motor, sensory, functional, and head posture results of recession of the lateral rectus muscle contralateral to the involved eye in patients with exotropic Duane retraction syndrome (DRS) type 3. Methods This was a retrospective, longitudinal, observational study of a consecutive clinical case series. Of the 11 patients with DRS type 3 operated on at a tertiary medical center from 1977 to 2012, 8 underwent recession of the lateral rectus muscle contralateral to the involved eye (with combined Y-splitting of ipsilateral lateral rectus muscle in 3 of them). Full ophthalmic, orthoptic, and neurological examination was performed before and after surgery. Main outcome measures included intragroup changes in motor misalignment, abnormal head turn, ocular upshoot, and stereopsis. Results Mean patient age was 8.75 ± 3.1 years at surgery. Mean exodeviation for distance was À 17.3±3.5 prism diopters (PD) preoperatively and À 4.0±6.1 PD postoperatively; corresponding values for near were À 23.1 ± 7.2 PD and À 5.9 ± 8.7 PD. Motor deviation improved by 77% for distance (P ¼ 0.017) and 74.5% for near (P ¼ 0.01). In 7/8 patients, the postoperative residual exodeviation (distance and near) was o8.0 PD. There was an 80% improvement in head turn, from 15.3±41 before surgery to 3.1 ± 5.01 after (P ¼ 0.01). Stereopsis improved significantly in 6/8 patients. Findings remained stable during follow-up (mean duration 35.9 ± 50.8 months, range 5-132 months). Conclusions Contralateral lateral rectus muscle recession appears to be a promising technique for the treatment of moderate unilateral DRS type 3, with patients showing significant motor and functional improvement and a decrease in head turn.

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“…11,13,16 Cerrahi yöntemler; etkilenen göze tek taraflı iç-dış rektus geriletme (tek başına, Faden ilaveli, ans ilaveli), çift taraflı iç/dış rektus geriletme (simetrik/asimetrik cerrahi), geriletme-rezeksiyon cerrahileri, etkilenmemiş göze cerrahi veya total ya da parsiyel vertikal kas transpozisyon cerrahileri (lateral fiksasyon ile birlikte veya değil) olarak sayılabilir. Etkilenen gözde iç veya dış rektus geriletilmesi hâlen en etkin, basit ve sonuçları öngörülebilir yöntem olarak kabul edilmektedir.…”

Section: Gereç Ve Yöntemlerunclassified

“…11,16,32 Çalışmamızda ise bütün DRS hastaları değerlendirildiğinde, cerrahi endikasyon oranı %67,3, cerrahi girişim oranı ise %45,5 olarak saptanmıştır. SONUÇ DRS'de en sık saptadığımız klinik bulgu ABP idi.…”

Section: Gereç Ve Yöntemlerunclassified