Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall in exotropic Duane syndrome: a case report

Andalib, D; Javadzadeh, Alireza

doi:10.1186/1752-1947-2-253

Cited by 7 publications

(12 citation statements)

References 6 publications

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“…The prevalance is 2%–4% among all patients with strabismus. In the general population, the prevalence of DRS is about 1/1,000 1. DRS prevalence was 1.2% in the strabismus patients included in our study.…”

Section: Discussionmentioning

confidence: 61%

“…Alexander Duane’s publication of Duane retraction syndrome (DRS) was in 1905. As a result, DRS is also referred to in the literature as Stilling-Turk-Duane Syndrome 1. DRS is characterized by the following main features: 1) complete or partial absence of abduction of the affected eye; 2) partial, or rarely complete, deficiency of adduction of the affected eye; and 3) retraction of the affected eye into the orbit on adduction.…”

Section: Introductionmentioning

confidence: 99%

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Management of Duane retraction syndrome with prismatic glasses

Aygıt

Kocamaz

İnal

et al. 2017

OPTH

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PurposeTo report the results of using prismatic glasses for Duane retraction syndrome (DRS).MethodsData were obtained from the records of patients who were evaluated during the year 2000 in the Strabismus Unit of the Beyoglu Eye Training and Research Hospital. The average follow-up was 12.2±17.7 months. In all cases, 2 main variables were evaluated: horizontal deviation in the primary position and face turn. Prismatic glasses were provided to patients according to the degree of shift in the primary position.ResultsThe mean age of patients was 11.2 years. An analysis was performed on the data collected from 12 cases; 7 patients were females (58.3%) and 5 were males (41.7%), with 11 (91.7%) cases being of type I DRS. All 12 patients had abnormal head posture (face turn) and an angle of mean deviation equaling 10 PD (prism dioptri).ConclusionTreatment was individualized on a case-by-case basis. Prismatic glasses are useful for eliminating abnormal head posture and ocular misalignment in selected cases.

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Section: Discussionmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Management of Duane retraction syndrome with prismatic glasses

Aygıt

Kocamaz

İnal

et al. 2017

OPTH

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“…3 For treatment of esotropic Duane syndrome with severe globe retraction, transposition of the lateral half of the vertical rectus muscles to the lateral rectus insertion was combined with fixation of the lateral rectus muscle to the periosteum of the lateral orbital wall. [4][5][6][7] Although the outcome of periosteal fixation of the lateral rectus muscle may be excellent, exposing the adjacent periosteum and passing the needle through it is technically difficult. 5 In our procedure, the lateral rectus muscle is instead attached to the lateral canthal tendon.…”

Section: Discussionmentioning

confidence: 99%

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

Sukhija

Singh

2012

Journal of American Association for Pediatric Ophthalmology and

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“…A more aggressive approach to exo-Duane syndrome is to maximally weaken the lateral rectus muscle by disinsertion and fixation to the adjacent periosteal wall. [16][17][18] This procedure similarly removes the lateral rectus from the crest of the globe, thereby diminishing slippage and up-or downshoots, and also addresses exotropia. However, this procedure often requires an additional procedure such as medial orbital wall fixation, vertical rectus transposition, or medial rectus recession to avoid a consecutive esotropia.…”

Section: Discussionmentioning

confidence: 99%

Isolated Y-splitting and recession of the lateral rectus muscle in patients with exo-Duane syndrome

Yoo¹,

Hendler²,

Velez³

et al. 2012

Journal of American Association for Pediatric Ophthalmology and

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Purpose-Weakening of both horizontal rectus muscles is performed for patients with Duane syndrome and significant misinnervation of the lateral rectus (LR) muscle resulting in strabismus, limitation to ocular rotations, and globe retraction. In patients with severe up-/downshoots, a Ysplitting of the LR is often recommended. The purpose of this study was to evaluate the efficacy of isolated unilateral LR recession-Y splitting in exo-Duane patients with limitation to adduction and up-/downshoots. Methods-Retrospective review of the records of consecutive patients with exo-Duane syndrome and up/downshoots who underwent isolated Y-splitting-recession of the affected LR.Results-The records of 10 patients were reviewed (mean age at surgery 23 ± 21 years). The Ysplit was performed 10 mm posterior to the insertion and was combined with a mean LR recession of 8.7 ± 2.9 mm. Torticollis decreased from 12.7 ± 4.4° to 4.8 ± 5.3° (P = 0.003). Exotropia improved from 18.4 ± 7.3 to 6.2 ± 5.9 PD postoperatively (P < 0.001). Exotropia in contralateral gaze improved from 33.7 ± 11.8 to 18.7 ± 18.1 PD postoperatively (P = 0.09). No significant postoperative changes in esotropia in ipsilateral gaze, vertical deviations, or ocular rotations in adduction or abduction were observed. Downshoots were significantly decreased (P = 0.01), and there was a trend toward improvement of upshoots (P = 0.07). There were no overcorrections, although 3 patients required additional LR weakening and transposition.Conclusions-LR Y-splitting-recession improves ocular alignment, torticollis, and up-/ downshoots. LR recession improves ocular alignment and torticollis, while the addition of a Ysplit procedure improves up-/downshoots.

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Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall in exotropic Duane syndrome: a case report

Cited by 7 publications

References 6 publications

Management of Duane retraction syndrome with prismatic glasses

Management of Duane retraction syndrome with prismatic glasses

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

Isolated Y-splitting and recession of the lateral rectus muscle in patients with exo-Duane syndrome

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