Abstract

Duane retraction syndrome is the most frequently seen restrictive ocular motility disorders. It is clinically presented with limitation of horizontal movement, variable amounts of upshoots or downshoots and globe retraction combined with narrowing of the palpebral aperture on attempted adduction. An 8-year-old patient presented with severe restriction of abduction, reciprocal upshots or downshoots, and globe retraction combined with the palpebral fissure narrowing of on adduction. After the modified Y splitting of LR and recession of both horizontal rectus operation, all cosmetically disfiguring clinical features disappeared. In this case report modified Y splitting procedure and its long-term efficacy is presented.

Highlights

  • Duane retraction syndrome (DRS) is the most frequently seen congenital cranial dysinnervation syndrome among ocular motility disorders

  • Duane retraction syndrome is the most frequently seen restrictive ocular motility disorders. It is clinically presented with limitation of horizontal movement, variable amounts of upshoots or downshoots and globe retraction combined with narrowing of the palpebral aperture on attempted adduction

  • The frequency of DRS is 1-4% in the general population of strabismus patients. This syndrome is characterized by the limitation of abduction with or without limitation of adduction, narrowing of the palpebral aperture combined with globe retraction along with variable amounts of up shoots or down shoots on attempted adduction [1,2,3]

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Summary

Introduction

Duane retraction syndrome (DRS) is the most frequently seen congenital cranial dysinnervation syndrome among ocular motility disorders. It is clinically presented with limitation of horizontal movement, variable amounts of upshoots or downshoots and globe retraction combined with narrowing of the palpebral aperture on attempted adduction. An 8-year-old patient presented with severe restriction of abduction, reciprocal upshots or downshoots, and globe retraction combined with the palpebral fissure narrowing of on adduction.

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