Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report

BMC Ophthalmology
Jae Hyoung Kim, Jeong-Min Hwang

Abstract

Duane retraction syndrome (DRS) consists of abduction deficit, globe retraction and upshoots or downshoots with adduction. The abducens nerve on the affected side is absent in type 1 DRS. After bilateral medial rectus muscle recession in unilateral type 1 DRS may improve the abduction limitation, but still more than -3 limitation remains. A 6-month-old boy presented with esotropia which had been noticed in early infancy. He showed limited abduction, fissure narrowing on attempted adduction and a small upshoot OS. Left abducens nerve was not identified on magnetic resonance imaging compatible with Duane retraction syndrome type 1. He showed full abduction after bilateral medial rectus recession of 6.0 mm at the age of 9 months, and remained orthotropia with full abduction OU 2 years postoperatively. He is my only patient with Duane retraction syndrome who showed full abduction after bilateral medial rectus recession. A patient with the type 1 Duane retraction syndrome rarely may show full abduction after bilateral medial rectus recession mimicking infantile esotropia.

References

Jan 1, 1989·International Ophthalmology Clinics·A O Ciancia
Mar 1, 1997·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·R S Foster
Apr 17, 2001·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·F G VelezA L Rosenbaum
Oct 21, 2003·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Michelle T BrittArthur L Rosenbaum
Aug 13, 2004·Journal of Pediatric Ophthalmology and Strabismus·Caesar C SterkMarietta Swart-van den Berg
Oct 20, 2004·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Arthur L Rosenbaum
Jan 5, 2005·Ophthalmology·Jae Hyoung Kim, Jeong-Min Hwang
Oct 11, 2005·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Michelle T BrittArthur L Rosenbaum
Aug 18, 2009·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Majid FarvardinAbdolsamad Ashrafzadeh
Mar 31, 2010·Journal of Pediatric Ophthalmology and Strabismus·Ziaeddin YazdianMohammad Reza Akbari
Nov 1, 2011·Ophthalmology·Jae Hyoung Kim, Jeong-Min Hwang
Feb 15, 2012·Archives of Ophthalmology·Reshma A MehendaleDavid G Hunter
Jan 24, 2014·Journal of Child Neurology·Jae Hyoung Kim, Jeong-Min Hwang
Mar 29, 2014·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Jae Hyoung KimJeong-Min Hwang
Apr 29, 2014·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Jae Hyoung Kim, Jeong-Min Hwang
Oct 22, 2014·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Jeong-Min HwangSung Sup Park
Jun 11, 2015·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Shailja TibrewalRamesh Kekunnaya

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Citations

Aug 21, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Hee Kyung YangJeong-Min Hwang

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