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Bilateral Duane's syndrome

J H Goldstein, D B Sacks

    Journal of Pediatric Ophthalmology
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Bilateral Duane's Syndrome can lead to exotropia after medial rectus recession. Tight medial and lateral rectus muscles may require simultaneous recession in these cases.

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    Area of Science:

    • Ophthalmology
    • Strabismus Surgery
    • Pediatric Ophthalmology

    Background:

    • Duane's Syndrome is a congenital eye movement disorder.
    • Esotropia is often treated with medial rectus recession surgery.

    Observation:

    • Two patients with bilateral Duane's Syndrome developed significant exotropia post-surgery.
    • Forced duction tests revealed tight medial rectus muscles in adduction.

    Findings:

    • Immediate large angle exotropia occurred after bilateral medial rectus recession.
    • Tightness in both medial and lateral rectus muscles is suggested in bilateral Duane's Syndrome.

    Implications:

    • Simultaneous recession of both medial and lateral rectus muscles may be a necessary surgical approach.
    • This finding could alter surgical strategies for bilateral Duane's Syndrome.