Surgical Results in Duane Retraction Syndrome.

Park, Seong Bae; Chung, Seung Ah; Lee, Jong Bok

doi:2009.50.6.893

J Korean Ophthalmol Soc > Volume 50(6); 2009 > Article

Original Article

Journal of the Korean Ophthalmological Society 2009;50(6):893-897.
DOI: https://doi.org/10.3341/jkos.2009.50.6.893 Published online June 15, 2009.

Surgical Results in Duane Retraction Syndrome.

Seong Bae Park, Seung Ah Chung, Jong Bok Lee

The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. 491209@yuhs.ac

듀안안구후퇴증후군의 수술결과 분석

박성배ㆍ정승아ㆍ이종복

The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea

Abstract

PURPOSE
To report the clinical characteristics and the results of a series of patients treated with various strabismus surgery techniques for Duane retraction syndrome (DRS). METHODS: Thirty-eight patients with DRS undergoing surgical treatment were retrospectively reviewed. In all patients, ocular alignment, abnormal head posture and ocular motility disturbance were assessed both preoperatively and postoperatively. The patients were treated with appropriate horizontal muscle recession, Y-splitting combined with horizontal muscle recession, medial rectus recession and lateral rectus resection. RESULTS: The incidence of DRS was greater in females and in the left eye. Type 1 was the most common, and esodeviation was seen most frequently in the primary position. The esotropic patients with DRS turned their faces toward the affected eyes, while the exotropic patients with DRS turned away from the affected eyes. The deviation in the primary position was reduced from an average of 15.0 prism diopters (PD) to 1.5PD. The face turn was reduced from an average of 17.5 degrees to 1.2 degrees. CONCLUSIONS: The primary deviation and abnormal head posture found in DRS can be improved by proper preoperative evaluation and adequate choice of surgical methods.

Key Words: Abnormal head posture;Duane retraction syndrome;Surgical outcomes