Analysis of Abnormal Heal Posture and Surgical Results in the Patients with Duanes Retraction Syndrome.

Shin, Wook Bum; Roh, Young Bae

Original Article

Journal of the Korean Ophthalmological Society 1998;39(2):393-399.
Published online February 1, 1998.

Analysis of Abnormal Heal Posture and Surgical Results in the Patients with Duanes Retraction Syndrome.

Wook Bum Shin, Young Bae Roh

Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea.

듀안 안구후퇴증후군 환자에게 이상두위의 평가와 수술성적

신욱범(Wook Bum Shin),노영배(Young Bae Roh)

Abstract

We evaluated retrospectively the clinical records of 46 cases of Duanes retraction syndrome. The purpose of this study is to demonstrate a clinical characteristics of this syndrome and improvement of abnormal head posture and degree of deviation in 14 cases undergoing operation. Unilateral manifestation was in 42 cases and 4 cases were involved bilaterally. Left eye was involved predominantly in 29 cases (63.0%). The frequencies analyzed according to Hubers classification were that Type I was 64.3%, Type II 7.1%, and Type III 28.6% in unilateral cases. Of unilateral cases, compensatory face turn was exhibited in 65.2% of Type I, 100% of Type II, and 60.0% of Type III. In primary position, 44.4% of Type I had esodeviation, and 100% of Type II ad 83.3% of type III had exodeviation. The major concerns of most patients or their parents were the correction of strabismus and gaze limitation, but they hardly recognized abnormal head posture. The correction of abnormal head posture and strabismus was achieved in 78.6% postoperatively.

Key Words: Abnormal head posture;Duanes retraction syndrome;Postoperative results