Duane syndrome: Clinical features and surgical management

Kalevar, Ananda; Tone, Stephan Ong; Flanders, Michael

doi:10.1016/j.jcjo.2015.05.005

Cited by 19 publications

(9 citation statements)

References 15 publications

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“…The demographic characteristics of our patients were comparable to those in previously reported studies (5,6). The left eye was affected in 4 patients, the right eye was affected in 3 patients, and 1 patient had bilateral involvement.…”

Section: Discussionsupporting

confidence: 84%

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The clinical features and management of Duane’s retraction syndrome type 2 in pediatric patients

İnal¹

2017

Beyoglu Eye J

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Objectives:The aim of this study was to describe the demographic details, features, and clinical management of pediatric patients with Duane retraction syndrome (DRS) type 2. Methods: A total of 632 charts from patients who were diagnosed with DRS between January 1998 and January 2016 were retrospectively reviewed. DRS type 2 patients who were <18 years old were identified. Demographic data and clinical findings from pediatric patients with a follow-up time >1 year were collected. Orthotropia or ±10 prism diopters (PD) at near and distance fixation in primary position with available optical correction at the last visit was considered a satisfactory outcome. Results: There were 5 girls (62.5%) and 3 boys (37.5%). The average age at the first visit was 8.87±6.70 years (range: 2-18 years). The left eye was affected in 4 patients, the right eye in 3 patients, and 1 patient had bilateral involvement. Amblyopia was detected in 4 patients. Four patients had abnormal head posture (AHP). All of the patients had exotropia (XT). The near deviation angle was 24.75±16.45 PD (range: 4-60 PD), and the distance deviation angle was 29±23.12 PD (range: 10-80 PD). Orthotropia/<10 PD XT was seen in 5 patients with refractive correction. Three patients underwent surgery to correct deviation. In the final examination, 2 patients had AHP and orthophoria/<10 PD XT was observed in 6 patients. Conclusion: Amblyopia and deviation in primary position was common in children with DRS type 2 in our small group; therefore, detailed patient examinations are very important. Surgery would be appropriate for patients with strabismus and/or AHP.

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Section: Discussionsupporting

confidence: 84%

“…Surgery can be performed to correct primary position misalignment-associated abnormal head posture (AHP) and to minimize palpebral fissure narrowing. Surgery does not correct the syndrome and cannot restore eye movements (6). Type 1 is the most common type (78%), followed by type 3 (15%) and 2 (7%) (3).…”

Section: Introductionmentioning

confidence: 99%

The clinical features and management of Duane’s retraction syndrome type 2 in pediatric patients

İnal¹

2017

Beyoglu Eye J

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“…11,17,18 Genellikle Tip 3 Duane hastalarında ve ekzotropya ile birlikte görülmektedir. 17,18 Çalışma-mızda da literatür ile benzer olacak şekilde bu oran %31,8 olarak izlenmiş olup, genellikle Tip 3 hastalık ile ilişkili bulunmuştur.…”

Section: Gereç Ve Yöntemlerunclassified

“…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