Tratamiento quirúrgico del síndrome de duane, tipo I mediante retroinserción del recto medial del lado afecto y faden del recto medial contralateral

Puerto-Hernández, B.; López-Caballero, C; Rodríguez-Sánchez, J.M.; González-Manrique, M; Contreras, Inés

doi:10.4321/s0365-66912008000200009

Cited by 6 publications

(2 citation statements)

References 11 publications

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“…These include recession of the ipsilateral medial rectus muscle with or without a posterior fixation suture on the contralateral medial rectus muscle, bilateral medial rectus muscle recession and augmented VRT with or without medial rectus muscle recession. [312131415] However, the coexistence of an accommodative esotropia makes the management of DRS more challenging as a failure to detect and treat it may lead to long-term post-operative overcorrection or other difficulties associated with overcorrection in accommodative esotropia. [9] The management of partially accommodative esotropia without DRS involves titrating the amount of medial rectus muscle recession according to the amount of esotropia present with hyperopic correction.…”

Section: Discussionmentioning

confidence: 99%

Outcomes in patients with esotropic duane retraction syndrome and a partially accommodative component

Kekunnaya

Velez

Pineles

2013

Indian J Ophthalmol

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Background:The management of Duane retraction syndrome (DRS) is challenging and may become more difficult if an associated accommodative component due to high hyperopia is present. The purpose of this study is to review clinical features and outcomes in patients with partially accommodative esotropia and DRS.Setting and Design:Retrospective, non-comparative case series.Materials and Methods:Six cases of DRS with high hyperopia were reviewed.Results:Of the patients studied, the mean age of presentation was 1.3 years (range: 0.5-2.5 years). The mean amount of hyperopia was + 5D (range: 3.50-8.50) in both eyes. The mean follow up period was 7 years (range: 4 months-12 years). Five cases were unilateral while one was bilateral. Four cases underwent vertical rectus muscle transposition (VRT) and one had medial rectus recession prior to presentation; all were given optical correction. Two (50%) of the four patients who underwent vertical rectus transposition cases developed consecutive exotropia, one of whom did not have spectacles prescribed pre-operatively. All other cases (four) had minimal residual esotropia and face turn at the last follow-up with spectacle correction.Conclusion:Patients with Duane syndrome can have an accommodative component to their esotropia, which is crucial to detect and correct prior to surgery to decrease the risk of long-term over-correction. Occasionally, torticollis in Duane syndrome can be satisfactorily corrected with spectacles alone.

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Section: Discussionmentioning

confidence: 99%

Outcomes in patients with esotropic duane retraction syndrome and a partially accommodative component

Kekunnaya

Velez

Pineles

2013

Indian J Ophthalmol

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“…Medial rectus muscle recession of the affected eye and placement of contralateral medial rectus posterior fixation suture has been advocated on the basis of matching duction limitations between two eyes that allow a wider field of diplopia-free field and improve abduction in the affected eye. 23 , 24 Experience with this method is inadequate and has seen various results. Nevertheless, Hering's law may not apply in DRS because of abnormally innervated lateral rectus in this syndrome.…”

Section: Surgical Approachesmentioning

confidence: 99%

Surgical treatment of Duane retraction syndrome

Akbari

Manouchehri

Mirmohammadsadeghi

2017

Journal of Current Ophthalmology

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PurposeSurgical treatment in Duane retraction syndrome (DRS) can be very challenging even for the strabismus specialists because of a wide spectrum of diversity in clinical manifestations. The purpose of this article is to review these different surgical treatments.MethodsA comprehensive search was performed using PubMed database with the different keywords of “Duane retraction syndrome” and “surgery”. Articles were selected from original English papers published since 2000. The full text of the selected articles was reviewed, and some articles were added based upon the references of the initial articles. We also provided selected case examples about some of these procedures.Results125 articles were found in the initial search of which 37 articles were mostly related to the topic of this review. The number finally increased to 59 articles after considering the relative references of the initial articles. Different surgical methods performed on horizontal and vertical rectus muscles (recession, resection, transposition, Y splitting, periosteal fixation and posterior fixation suture) are reviewed. Careful selection of the surgical technique is important to achieve optimal results.ConclusionWith accurate diagnosis of patients with DRS and proper surgical management, several adverse situations associated with this syndrome (amblyopia, abnormal head posture, upshoot, downshoot, and muscle underaction) can be prevented.

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Síndrome de retracción de Duane

Sartori¹,

Odesser²,

Alvarado³

et al. 2017

Revista Argentina de Radiología

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Tratamiento quirúrgico del síndrome de duane, tipo I mediante retroinserción del recto medial del lado afecto y faden del recto medial contralateral

Abstract: This is a safe and effective procedure in Duane's syndrome type I to treat moderate esotropia and torticolis.

Cited by 6 publications

References 11 publications

Outcomes in patients with esotropic duane retraction syndrome and a partially accommodative component

Outcomes in patients with esotropic duane retraction syndrome and a partially accommodative component

Surgical treatment of Duane retraction syndrome

Síndrome de retracción de Duane

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