Surgery of Duane Retraction Syndrome I: Comparison of Unilateral Recession and Resection versus Bilateral Medial Rectus Recessions
Authors:
K. Vodičková; R. Autrata; J. Řehůřek
Authors‘ workplace:
Dětská oční klinika LF MU a FN, Brno, přednosta doc. MUDr. R. Autrata, CSc., MBA
Published in:
Čes. a slov. Oftal., 64, 2008, No. 3, p. 100-104
Overview
The purpose of this comparative study was to evaluate a long-term efficacy of lateral rectus muscle resection in the affected eye of patients with Duane retraction syndrome (DRS) with esotropia and limited abduction and to compare it with bilateral medial rectus recessions. We reviewed and compared the data of the group A with 23 patients who underwent a recession-resection procedure and the group B with 26 patients in whom we performed medial rectus recessions. In each group, we evaluated pre- and postoperatively the ocular alignment, head position, ocular ductions, severity of retraction, and binocular visual field. Statistical analysis of the data was performed. Postoperatively, both groups had similar mean esotropia and mean face turns. However, the mean limitation of abduction in the affected eye was greater in the group B, mean adduction was also significantly worse in the group B. Globe retraction improved in all subjects of the group B, but worsened in 6 patients of the group A. Seventeen of 23 patients with Duane retraction syndrome, selected on the basis of esotropia, limited abduction, and mild retraction, benefited from a recession-resection procedure in the affected eye. The ability of abduction achieved higher level than in the group B after bilateral medial rectus recessions. We assume that unilateral recession-resection procedure should be performed in patients with mild retraction of the globe and good preoperative adduction.
Key words:
strabismus surgery, DRS (Duane retraction syndrome), globe retraction
Sources
1. Carlson, M.R., Jampolsky, A.L.: An adjustable transposition procedure for abduction deficiencies. Am. J. Ophthalmol., 87, 1979: 382-7.
2. Clark, R.A., Rosenbaum, A.L., Demer, J.L.: Magnetic resonance imaging after surgical transposition defines the anteroposterior location of the rectus muscle pulleys. JAAPOS, 3, 1999: 9-14.
3. Collins, C.C., Jampolsky, A.L., Howe, P.S.: Mechanical limitations of rotation. Mechanics of strabismus: a symposium on oculomotor engineering, The Smith Kettlewell Eye Research Institute, San Francisco, 1992: 19-40.
4. DeRespinis, P.A., Valuto, A.R., Wagner, R.S., et al.: Duane’s retraction syndrome. Surv. Ophthalmol., 38, 1993: 257-88.
5. Feretis, D., Papastratigakis, B., Tsamparlakis, J.: Planning surgery in Duane’s syndrome. Ophthalmologica, 183, 1981:148-53.
6. Foster, R.S.: Vertical muscle transposition augmented with lateral fixation. JAAPOS, 1, 1997: 20-30.
7. Goldstein, J.H., Sacks, D.B.: Bilateral Duane’s syndrome. J. Pediatr. Oph. Strab., 14, 1978: 12-7.
8. Kaban, T.J., Smith, K., Day, C., et al.: Single medial rectus recession in unilateral Duane syndrome type I. Am. Orthoptic. J., 45, 1995:108-14.
9. Kraft, S.P.: A surgical approach to Duane syndrome. J. Pediatr. Ophthalmol. Strab., 25, 1988: 119-30.
10. Kraft, S.P., Clarke, M.P.: Surgical treatment of Duane’s retraction syndrome. Ophthalmol. Clin. North. Am., 5, 1992: 79-92.
11. Metz, H.S.: 20th annual Frank Costenbader lecture: muscle transposition surgery. J. Pediatr. Ophthalmol. Strab., 30, 1993: 346-53.
12. Mims, J.L.: Choice of surgery for Duane’s retraction syndrome. Decision making in Ophthalmology, Mosby, St. Louis 1992: 162-3.
13. Molarte, A.B., Rosenbaum, A.L.: Vertical rectus muscle transposition surgery for Duane’s syndrome. J. Pediatr. Ophthalmol. Strab., 27, 1990: 171-7.
14. Laby, D.M., Rosenbaum, A.L.: Adjustable vertical rectus muscle transposition surgery. J. Pediatr. Ophthalmol. Strab., 31, 1994: 75-8.
15. Otradovec, J.: Klinická neurooftalmologie, Grada, Praha 2003, 286-289.
16. Pressman, S.H., Scott, W.E.: Surgical treatment of Duane’s syndrome. Ophthalmology, 93, 1986: 29-38.
17. Saunders, R.A., Wilson, M.E., Bluestein, E.C., et al..: Surgery on the normal eye in Duane retraction syndrome. J. Pediatr. Ophthalmol. Strab., 31, 1994: 162-9.
18. Shauly, Y.,Weissman, A., Meyer, E.: Ocular and systemic characteristics of Duane syndrome. J. Pediatr. Ophthalmol. Strab., 30, 1993: 178-83
19. Shiratori, A., Kameyama, C., Sibasaki, K.: Adduction deficiency following a large medial rectus recession in Duane’s retraction syndrome type 1. J. Pediatr. Ophthalmol. Strab., 36, 1999: 98-100.
20. Velez, F.G., Foster, R.S., Rosenbaum, A.L.: Vertical rectus muscle augmented transposition in Duane syndrome. JAAPOS, 5, 2001: 105-13
21. von Noordern, G.K.: Binocular vision and ocular motility. 5th ed. St Louis: Mosby; 1996. p. 430-7.
22. Wybar, K.C.: Management of sixth nerve palsy and Duane’s retraction syndrome. Trans. Ophthal. Soc., 101, 1981: 276-8
Labels
OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2008 Issue 3
Most read in this issue
- Bilateral Simultaneous Dacryocystorhinostomy and Conjunctivocystorhinostomy
- H-Test: a New Alternative of Bagolini Test for Younger Children
- The First Experience with Gold Eyelid Implants in Facial Nerve Palsies
- Postoperative Results of Hydrophilic Expandable Intraocular Lenses ACQUA (Mediphacos) Implantation