Surgical Treatment of Duane's Syndrome

Pressman, Scott H.; Scott, William E.

doi:10.1016/s0161-6420(86)33777-1

Cited by 74 publications

(60 citation statements)

References 18 publications

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“…The study group consisted of 5 boys (62.5%) and 3 girls of mean age 8.75 ± 3.1 years at surgery (range, [4][5][6][7][8][9][10][11][12][13][14]. The left eye was affected in 6 patients (75%) and the right eye in 2 patients.…”

Section: Resultsmentioning

confidence: 99%

“…[9][10][11] Traditionally, surgery for the treatment of exotropic DRS type 3 consists mainly of recession of the ipsilateral lateral rectus muscle to correct the horizontal misalignment. [11][12][13][14] However, the resulting primary position of the eye is unpredictable, with increasing lateral rectus limitation, and the visual field of single binocular vision may be reduced. An alternative surgical approach is recession of the lateral rectus muscle of the noninvolved (normal) eye in selected patients in order to better estimate the postoperative horizontal alignment.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

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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“…In many cases the unilateral medial rectus recession can eliminate the ET in primary position [4]. In two situations however, a recession of the contralateral medial rectus should also be done.…”

Section: Result: Orthophoria In Primary Positionmentioning

confidence: 99%

“…In patients with DRS with limited abduction and an ET of 20 to 25 or more, a large medial rectus recession, up to 6 or 7mm has been recommended [2,4,5]. If adduction saccadic velocities are very slow and limitation of adduction is present, one should consider limiting the recession of the medial rectus of the affected eye to no more than 5 mm and adding a recession of the opposite medial rectus to fully correct the ET.…”

Section: Result: Orthophoria In Primary Positionmentioning

confidence: 99%

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Surgical Planning for Duane Retraction Syndrome

Puligadda¹

2015

J Clin Res Ophthalmol

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Introduction: Duane retraction syndrome (DRS) a type of relatively rare type of restrictive strabismus. Methods and results:Six cases of DRS comprising of all sub types and their outcome was discussed simultaneously explaining how to plan surgical treatment for each component of DRS in each case. Horizontal, vertical deviations, abnormal head position, globe retraction and upshoots / downshoots were correctable in all cases of DRS. Conclusion:Satisfactory surgical results can be achieved by operating cases of DRS with individualized surgical planning.

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Severe Adduction Deficiency Following a Large Medial Rectus Recession in Duane's Retraction Syndrome

Nelson¹

1986

Archives of Ophthalmology

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Surgical Treatment of Duane's Syndrome

Cited by 74 publications

References 18 publications

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

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

Surgical Planning for Duane Retraction Syndrome

Severe Adduction Deficiency Following a Large Medial Rectus Recession in Duane's Retraction Syndrome

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