دورية أكاديمية

Duane-minus (Duane sine retraction and Duane sine limitation): possible incomplete forms of Duane retraction syndrome.

التفاصيل البيبلوغرافية
العنوان: Duane-minus (Duane sine retraction and Duane sine limitation): possible incomplete forms of Duane retraction syndrome.
المؤلفون: Awadein A; Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Arfeen SA; Ophthalmology Department, Faculty of Medicine, Cairo University, Cairo, Egypt., Chougule P; Child Sight Institute, Jasti V Ramanamma Children's Eye Care Center, LV Prasad Eye Institute, Hyderabad, Telangana, India., Kekunnaya R; Child Sight Institute, Jasti V Ramanamma Children's Eye Care Center, LV Prasad Eye Institute, Hyderabad, Telangana, India. rameshak@lvpei.org.
المصدر: Eye (London, England) [Eye (Lond)] 2021 Jun; Vol. 35 (6), pp. 1673-1679. Date of Electronic Publication: 2020 Aug 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 8703986 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5454 (Electronic) Linking ISSN: 0950222X NLM ISO Abbreviation: Eye (Lond) Subsets: MEDLINE
أسماء مطبوعة: Publication: <2003->: London : Nature Publishing Group
Original Publication: [London : Ophthalmological Society of the United Kingdom, 1987-
مواضيع طبية MeSH: Duane Retraction Syndrome*/surgery , Esotropia*/surgery, Humans ; Oculomotor Muscles/surgery ; Ophthalmologic Surgical Procedures ; Retrospective Studies ; Vision, Binocular
مستخلص: Purpose: To report ocular motility patterns that mimic, but do not fulfil the full clinical picture of Duane retraction syndrome (DRS) and to describe their clinical features and surgical management.
Methods: This is a retrospective case series study conducted on patients with DRS, mimicking non-comitant exotropia or esotropia and a face turn. Patients were included only if they lacked either globe retraction on adduction (sine retraction) or limitation of adduction or abduction on ductions (sine limitation not >0.5). Any overshoots or pattern strabismus was recorded. The ocular motility and alignment, details of surgery and their surgical outcomes were analysed.
Results: Twenty-one patients were identified; 13 in the sine retraction and 8 in the sine limitation group. All patients presented with a compensatory face turn. Overshoots were present in 10 (77%) and 7 patients (88%) in the sine retraction and sine limitation groups, respectively. Forced duction test showed tightness of the ipsilateral medial and the ipsilateral lateral rectus muscle in esotropic (n = 3) and exotropic patients (n = 18), respectively. Orthotropia was achieved in 82% of patients following ipsilateral medial or lateral rectus muscle recession.
Conclusions: There is a subset of patients who present with motility pattern similar to DRS but lack its complete diagnostic criteria. The presence of a face turn, overshoots on adduction or an ipsilateral tightness of the affected muscle should make one consider DRS sine retraction/sine limitation. The patients in our study responded well to lines of management similar to those of DRS.
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تواريخ الأحداث: Date Created: 20200826 Date Completed: 20210630 Latest Revision: 20240402
رمز التحديث: 20240402
مُعرف محوري في PubMed: PMC8169851
DOI: 10.1038/s41433-020-1118-3
PMID: 32839562
قاعدة البيانات: MEDLINE
الوصف
تدمد:1476-5454
DOI:10.1038/s41433-020-1118-3