Severe adduction deficiency following a large medial rectus recession in Duane's retraction syndrome

Duane's retraction syndrome is a congenital eye movement disorder characterized by a deficiency of abduction, mild limitation of adduction, with retraction and narrowing of the palpebral fissure on attempted adduction. Two patients with this condition had a large medial rectus recession for a cosmetically unacceptable face turn and esotropia in primary position. Both patients had the unusual complication of severe limitation of adduction postoperatively.