Profound weakening of the lateral rectus muscle with attachment to lateral canthal tendon for treatment of exotropic Duane syndrome

Sukhija, Jaspreet; Singh, Manpreet; Singh, Usha

doi:10.1016/j.jaapos.2012.01.013

Cited by 9 publications

(7 citation statements)

References 8 publications

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“…Extraocular muscle surgery does not eliminate the abnormality of muscle innervation and no surgical technique can successfully restore normal ocular movement, as we observed in our cases. 2,3,4,7,8 …”

Section: Discussionmentioning

confidence: 99%

Modified Y-splitting Procedure for the Treatment of Duane Retraction Syndrome

Altıntaş¹,

Arifoğlu²,

Köklü³

2015

tjo

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Objectives:To present the outcomes of modified lateral rectus Y-splitting combined with either unilateral or bilateral horizontal rectus recession in Duane Retraction Syndrome (DRS) with significant upshoot or downshoot.Materials and Methods:A total of 12 patients including 10 patients with Type I DRS and 2 with Type III DRS underwent modified Y-splitting surgery. Amount of additional recessions varied with the degree of preoperative deviation by intraoperative adjustable suture technique. Preoperatively 3 patients had esotropia (ET), 6 had exotropia (XT), and 3 patients had orthotropia. The mean preoperative deviation was 19.3 prism diopters (PD) (range, 18-20 PD) in ET patients and 19.2 PD (range, 16-20 PD) in XT patients.Results:Postoperatively, all patients had significant correction in horizontal deviation and aligned within 4 PD of orthotropia, and no patients exhibited abnormal head posture. Co-contraction and globe retraction were markedly reduced and abnormal ocular vertical movement disappeared or significantly decreased in all cases. No patients experienced recurrence of ocular motility disorders in the mean 26-month (range, 13-66 months) follow-up period.Conclusion:Modified Y-splitting surgery combined with co-contracting horizontal muscle recession technique seems to be a safe and effective treatment in DRS.

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Section: Discussionmentioning

confidence: 99%

Modified Y-splitting Procedure for the Treatment of Duane Retraction Syndrome

Altıntaş¹,

Arifoğlu²,

Köklü³

2015

tjo

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show abstract

“…Sukhija et al ., suggested a modification of periosteal anchoring of the lateral rectus muscle by fixating it to the lateral canthal tendon for exotropic Duane syndrome. 31 They retrospectively compared the results of this procedure with Y split recession and found that both are equally effective. 31 …”

Section: Extraocular Muscle Fixation To the Orbital Wallmentioning

confidence: 99%

“… 31 They retrospectively compared the results of this procedure with Y split recession and found that both are equally effective. 31 …”

Section: Extraocular Muscle Fixation To the Orbital Wallmentioning

confidence: 99%

Periosteal fixation procedures in the management of incomitant strabismus

Saxena

Phuljhele

Sharma

et al. 2015

Middle East Afr J Ophthalmol

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Managing a case of incomitant strabismus from nerve palsy or extraocular muscle loss is a major challenge. Among possible management options are globe or extraocular muscle fixation to the orbital wall coupled with weakening or strengthening of the relevant antagonist. Extraocular muscle fixation to the orbital wall can also be used in cases of abnormal synkinesis to eliminate the abnormal eye movements of a misfiring extraocular muscle, which thereby allows the use of standard paralytic strabismus surgery techniques. This review article summarizes indications and techniques of periosteal fixation procedures for incomitant strabismus.

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“…Another surgical approach that was described in three case reports is to weaken the lateral rectus muscle with periosteal fixation or attachment to the lateral canthal tendon. [11][12][13] The current study evaluated the outcome of bilateral asymmetric lateral rectus recession in exotropic Duane retraction syndrome instead of the traditional unilateral lateral rectus recession. In 4 (57%) patients, Y-splitting was performed due to upshoot/downshoot; however, our study was too small to compare the results with and without Y-splitting.…”

Section: Discussionmentioning

confidence: 99%