Accessory fibrotic lateral rectus muscles in exotropic Duane syndrome with severe retraction and upshoot

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چکیده

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Bilateral lateral rectus recession in exotropic Duane syndrome with downshoot.

OBJECTIVE To report that maximum weakening of lateral rectus muscles can improve significant exotropia in primary position, abnormal head posture, retraction, narrowing of palpebral fissure and downshoot in exotropic duannes retraction syndrome. CASE A 12-year-old boy with exotropic Duane syndrome presented with downshoot and globe retraction in attempted adduction. Squint surgery was underta...

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Y-splitting with recession of lateral rectus versus lateral rectus recession in correcting upshoot in Duane retraction syndrome

PURPOSE To report the surgical effect in upshoot of Duane retraction syndrome (DRS) with corecession of horizontal rectus muscles with or without Y-splitting. PATIENTS AND METHODS A retrospective chart review of six patients of DRS received muscle surgeries for upshoot in adducted position was performed. RESULTS From 1994 to 2010, six Duane patients received muscle surgeries for upshoots of...

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The Efficacy of Bilateral Lateral Rectus Recession According to Secondary Deviation Measurements in Unilateral Exotropic Duane Retraction Syndrome.

PURPOSE To evaluate the surgical results of asymmetric bilateral lateral rectus recession in exotropic Duane retraction syndrome with abnormal face turn toward the opposite side according to secondary deviation measurements. METHODS Retrospective chart review. RESULTS Seven cases of unilateral exotropic Duane retraction syndrome were reviewed. All cases had globe retraction on adduction and...

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

INTRODUCTION The surgical correction of anomalous movement such as upshoot in Duane syndrome is challenging. Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall is a new approach used to minimize or eliminate the effects of co-contraction including globe retraction, palpebral fissure narrowing and anomalous vertical movement. CASE PRESENTATION We report a case of a...

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Duane retraction syndrome in a Nigerian child

We report a case of a four year old Nigerian girl who presented to the paediatric unit of our eye clinic with complaints of a squint on looking to the right side and reduction in the size of the right eye when looking to the left. On examination, she had right exotropia in the primary position of gaze. There was limitation of abduction and widening of the palpebral fissure of the right eye on r...

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ژورنال

عنوان ژورنال: Journal of American Association for Pediatric Ophthalmology and Strabismus

سال: 2015

ISSN: 1091-8531

DOI: 10.1016/j.jaapos.2015.05.023