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Complications of augmented superior rectus transposition in Duane syndrome
P Merino1, P Gómez de Liaño1, Y Ah Kim1
1Sección de Motilidad Ocular y Neuro-Oftalmología, Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Clinical Case:
A patient diagnosed with Duane syndrome underwent an augmented superior rectus transposition (SRT) to lateral rectus (LR) and medial rectus (MR) recession. Vertical, torsional deviation and diplopia were observed post-operatively. Removal of the Foster suture and superior rectus recession resolved the symptoms.
Discussion:
SRT to LR is proposed in Duane syndrome with a favorable outcome. The benefit of SRT is open to debate. It could be an alternative for the vertical rectus transposition when MR recession has to be operated on in the same procedure, or in the immediate post-operative period, in order to decrease the risk of anterior segment ischaemia.
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