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162332

MANAGEMENT OF DUANE RETRACTION SYNDROME

Article

Last updated: 05 Jan 2025

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Abstract

Purpose: To determine the clinical profile of various subtypes of Duane retraction syndrome
patients and to evaluate different surgical strategies in correction of different clinical signs.
Patients and Methods: This was a hospital-based prospective interventional study conducted
at the Ophthalmology department, Al-Azhar university hospital in Assiut over a duration of two
years from October 2017 to October 2019. Thirty one patients of DRS were scheduled to be
included in this study
. They were divided into three groups; Group I: 21 patients of DRS type I,
Group II: 4 patients of DRS type II and Group III: 6 patients of DRS type III. Age of patients
ranged from 9 months to 28 yrs old. Postoperative results were evaluated over 6
th months
follow-up period.
Results: Thirteen patients were left without surgical intervention, they were
orthophoric or with minimal misalignment in PP with mild retraction of the globe on attempted
adduction and none of them had any vertical shoot nor abnormal head position, eighteen patients of
DRS had surgical intervention. Nine cases were exotropic, 8 cases were esotropic & 1 case was
orthophoric. Horizontal deviations were managed with unilateral or bilateral muscle recession&
simultaneous recession of MR & LR. Retraction of the globe was managed with single muscle
recession or simultaneous recession of both MR & LR. Vertical shoots were managed with LR
Y-splitting, IO recession& simultaneous recession of both MR& LR.
Conclusion: Every patient
of Duane retraction syndrome has an individual story, with good diagnosis & accurate grading to
different signs we can determine the best surgical technique for the correctable signs. Single
muscle recession & simultaneous recession of both MR & LR can correct horizontal strabismus
in PP, the retraction of the globe on attempted adduction & the abnormal head position effectively.
Overshoots can be corrected by LR Y-splitting, simultaneous recession of both MR& LR IO
anteriorisation surgery is the best choice in cases with HT in PP & slow upshoot. Small LR resection
can be done in esotropic cases with mild retraction (grade 1).


DOI

10.21608/ejco.2020.162332

Keywords

Duane Retraction Syndrome, Strabismus surgery, esotropia, Exotropia

Authors

First Name

Ali,

Last Name

H.

MiddleName

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Affiliation

Ophthalmology dept., Faculty of Medicine, AL-Azhar Univ., Assuit, Egypt

Email

hadeelraif@gmail.com

City

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Orcid

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First Name

Mohamed,

Last Name

A.

MiddleName

-

Affiliation

Ophthalmology dept., Faculty of Medicine, AL-Azhar Univ., Cairo, Egypt

Email

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City

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Orcid

-

First Name

Saad,

Last Name

M.

MiddleName

-

Affiliation

Ophthalmology dept., Faculty of Medicine Univ., Assuit, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed,

Last Name

M.

MiddleName

-

Affiliation

Ophthalmology dept., Faculty of Medicine, AL-Azhar Univ., Assuit, Egypt

Email

-

City

-

Orcid

-

Volume

3

Article Issue

2

Related Issue

23741

Issue Date

2020-12-01

Receive Date

2020-08-05

Publish Date

2020-12-01

Page Start

85

Page End

95

Print ISSN

2537-0502

Online ISSN

2537-0944

Link

https://ejco.journals.ekb.eg/article_162332.html

Detail API

https://ejco.journals.ekb.eg/service?article_code=162332

Order

4

Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,824

Publication Type

Journal

Publication Title

Egyptian Journal of Clinical Ophthalmology

Publication Link

https://ejco.journals.ekb.eg/

MainTitle

MANAGEMENT OF DUANE RETRACTION SYNDROME

Details

Type

Article

Created At

23 Jan 2023