Treatment modalities in Duane’s Retraction Syndrome

作     者：Karim A Gaballah Dalal Shawky 

作者机构：Department of OphthalmologyHelwan UniversityCairo 11731Egypt Department of OphthalmologyAlexandria UniversityAlexandria 21568Egypt 

出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)

年 卷 期：2020年第13卷第2期

页      面：278-283页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：Duane’s Retraction Syndrome globe retraction globe upshoot medial rectus lateral rectus forced duction test 

摘      要：●AIM:To study the different treatment modalities needed in cases of Duane’s Retraction Syndrome(DRS).●METHODS:This prospective study undergone in more than four years,in Alexandria,included 238 patients of DRS,including type I,162 patients(68%),type II 12 patients(5%)and type III 64 patients(27%).Surgery was indicated in 98(41%)of them,to eliminate abnormal head posture,deviation of the eye in primary position,severe retraction of the globe or cosmetically unacceptable upshoot with attempted adduction.●RESULTS:Type I was the most common and type II was the *** were predominant in this study,constituting 125 patients(52.5%),and males 113 patients(47.5%).Left eye was more affected,in 110 patients(46.2%),right eye in 91 patients(38.2%)and bilateral in 37 patients(15.6%).Amblyopia was found in 27 patients(11.3%)and treated in 13 patients under 10 years of age,by patching the normal ***-eight patients(41%)were operated,the results were most satisfactory and a nomogram is followed in the surgical plan.●CONCLUSION:The surgical management is needed in less than half of the cases and should be planned for every case individually according to the clinical findings,planned nomogram and modified intraoperatively according to the anatomical findings during surgery.