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

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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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Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall.

BACKGROUND/AIMS Surgical correction of ocular alignment in patients with third cranial nerve paralysis is challenging, as the unopposed lateral rectus muscle often pulls the eye back to exotropia following surgery. The authors present a simple surgical approach to overcome this difficulty. This approach is also applicable to removal of unwanted overactivity of the lateral rectus in Duane syndro...

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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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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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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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ژورنال

عنوان ژورنال: Journal of Medical Case Reports

سال: 2008

ISSN: 1752-1947

DOI: 10.1186/1752-1947-2-253