Biomaterial Database

A simplified approach to the treatment of Duane's syndrome. 2004

M E Barbe, and W E Scott, and P J Kutschke

Department of Ophthalmology & Visual Sciences, University of Iowa Hospitals & Clinics, Iowa City, IA, USA. mbarbe@comcast.net

BACKGROUND To report the results of a large series of patients undergoing treatment for Duane's syndrome. METHODS Patients with Duane's syndrome undergoing strabismus surgery of a horizontal muscle recession procedure, medial rectus recession for an esodeviation or lateral rectus recession for an exodeviation, in order to correct an abnormal head position (AHP) and a significant tropia in primary position were identified. Amount of recession varied with the angle of deviation in forced primary position, versions and ductions, and intraoperative forced ductions. Elimination of AHP was used as a criterion for success. RESULTS Fifty nine patients were treated with either unilateral or bilateral medial or lateral rectus recession. Mean follow up was 3.1 years. Ninety three percent achieved a postoperative alignment of < or =15 degrees AHP, 66% achieved < or =5 degrees AHP. Only three patients, two from the unilateral Type II group and one from the bilateral combined Types I and II group, went on to have a second procedure for a noticeable residual AHP. CONCLUSIONS Success (good to excellent results) of horizontal muscle recession was achieved in 93% of patients. Unilateral or bilateral horizontal rectus muscle recession offers a simple and effective surgical option for eliminating AHP and is our treatment of choice in patients with Duane's syndrome.

UI	MeSH Term	Description	Entries
D007223	Infant	A child between 1 and 23 months of age.	Infants
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D009801	Oculomotor Muscles	The muscles that move the eye. Included in this group are the medial rectus, lateral rectus, superior rectus, inferior rectus, inferior oblique, superior oblique, musculus orbitalis, and levator palpebrae superioris.	Extraocular Muscles,Extraocular Rectus Muscles,Inferior Oblique Extraocular Muscle,Inferior Oblique Muscles,Levator Palpebrae Superioris,Musculus Orbitalis,Oblique Extraocular Muscles,Oblique Muscle, Inferior,Oblique Muscle, Superior,Oblique Muscles, Extraocular,Rectus Muscles, Extraocular,Superior Oblique Extraocular Muscle,Superior Oblique Muscle,Extraocular Muscle,Extraocular Muscle, Oblique,Extraocular Muscles, Oblique,Extraocular Oblique Muscle,Extraocular Oblique Muscles,Extraocular Rectus Muscle,Inferior Oblique Muscle,Muscle, Oculomotor,Muscles, Oculomotor,Oblique Extraocular Muscle,Oblique Muscle, Extraocular,Oblique Muscles, Inferior,Oblique Muscles, Superior,Oculomotor Muscle,Rectus Muscle, Extraocular,Superior Oblique Muscles
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D004370	Duane Retraction Syndrome	A syndrome characterized by marked limitation of abduction of the eye, variable limitation of adduction and retraction of the globe, and narrowing of the palpebral fissure on attempted adduction. The condition is caused by aberrant innervation of the lateral rectus by fibers of the OCULOMOTOR NERVE.	Duane Syndrome,Ocular Retraction Syndrome,Acrorenoocular Syndrome,Co-Contractive Retraction Syndrome,Duane Anomaly,Duane Anomaly with Radial Abnormalities and Deafness,Duane Anomaly with Radial Ray Abnormalities and Deafness,Duane Anomaly, Isolated,Duane Retraction Syndrome 1,Duane Retraction Syndrome 2,Duane Retraction Syndrome, Type 1,Duane Retraction Syndrome, Type 2,Duane Retraction Syndrome, Type 3,Duane's Syndrome,Duane-Radial Ray Syndrome,Isolated Duane Retraction Syndrome,Okihiro Syndrome,Retraction Syndrome,Stilling-Turk-Duane Syndrome,Type 1 Duane Retraction Syndrome,Type 2 Duane Retraction Syndrome,Type 3 Duane Retraction Syndrome,Acrorenoocular Syndromes,Anomaly, Duane,Anomaly, Isolated Duane,Co Contractive Retraction Syndrome,Co-Contractive Retraction Syndromes,Duane Anomalies, Isolated,Duane Radial Ray Syndrome,Duanes Syndrome,Isolated Duane Anomalies,Isolated Duane Anomaly,Ocular Retraction Syndromes,Retraction Syndrome, Co-Contractive,Retraction Syndrome, Duane,Retraction Syndrome, Ocular,Retraction Syndromes,Stilling Turk Duane Syndrome,Stilling-Turk-Duane Syndromes,Syndrome, Acrorenoocular,Syndrome, Duane,Syndrome, Duane Retraction,Syndrome, Duane's,Syndrome, Duane-Radial Ray,Syndrome, Ocular Retraction,Syndrome, Okihiro
D005260	Female		Females
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man