Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report
Abstract Background 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 abdu...
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| Format: | Article |
| Language: | English |
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BMC
2017-05-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12886-017-0475-6 |
| _version_ | 1819106731243864064 |
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| author | Jae Hyoung Kim Jeong-Min Hwang |
| author_facet | Jae Hyoung Kim Jeong-Min Hwang |
| author_sort | Jae Hyoung Kim |
| collection | DOAJ |
| description | Abstract Background 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. Case presentation 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. Conclusions A patient with the type 1 Duane retraction syndrome rarely may show full abduction after bilateral medial rectus recession mimicking infantile esotropia. |
| first_indexed | 2024-12-22T02:42:48Z |
| format | Article |
| id | doaj.art-cfa0ca32cc104850903ff270b988704e |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-22T02:42:48Z |
| publishDate | 2017-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-cfa0ca32cc104850903ff270b988704e2022-12-21T18:41:36ZengBMCBMC Ophthalmology1471-24152017-05-011711410.1186/s12886-017-0475-6Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case reportJae Hyoung Kim0Jeong-Min Hwang1Department of Radiology, Seoul National University College of Medicine, Seoul National University Bundang HospitalDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang HospitalAbstract Background 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. Case presentation 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. Conclusions A patient with the type 1 Duane retraction syndrome rarely may show full abduction after bilateral medial rectus recession mimicking infantile esotropia.http://link.springer.com/article/10.1186/s12886-017-0475-6Duane retraction syndromePostoperative full abductionAbducens nerve |
| spellingShingle | Jae Hyoung Kim Jeong-Min Hwang Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report BMC Ophthalmology Duane retraction syndrome Postoperative full abduction Abducens nerve |
| title | Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report |
| title_full | Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report |
| title_fullStr | Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report |
| title_full_unstemmed | Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report |
| title_short | Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report |
| title_sort | postoperative full abduction in a patient of duane retraction syndrome without an abducens nerve a case report |
| topic | Duane retraction syndrome Postoperative full abduction Abducens nerve |
| url | http://link.springer.com/article/10.1186/s12886-017-0475-6 |
| work_keys_str_mv | AT jaehyoungkim postoperativefullabductioninapatientofduaneretractionsyndromewithoutanabducensnerveacasereport AT jeongminhwang postoperativefullabductioninapatientofduaneretractionsyndromewithoutanabducensnerveacasereport |