Congenital unilateral adduction deficit with simultaneous abduction. A variant of Duane's retraction syndrome

Congenital adduction deficit not associated with other signs of oculomotor nerve weakness occurs infrequently. Type 2 Duane's retraction syndrome accounts for some of these cases. The authors identified three children with unilateral adduction deficits and simultaneous abduction of the eyes on...

Full description

Saved in:
Bibliographic Details
Published inOphthalmology (Rochester, Minn.) Vol. 94; no. 8; p. 1049
Main Authors Wagner, R S, Caputo, A R, Frohman, L P
Format Journal Article
LanguageEnglish
Published United States 01.08.1987
Subjects
Child
Child, Preschool
Duane Retraction Syndrome - congenital
Duane Retraction Syndrome - physiopathology
Electromyography
Eye - physiopathology
Female
Humans
Male
Muscles - physiopathology
Ophthalmoplegia - physiopathology
Online AccessGet more information

Cover

More Information
Summary:Congenital adduction deficit not associated with other signs of oculomotor nerve weakness occurs infrequently. Type 2 Duane's retraction syndrome accounts for some of these cases. The authors identified three children with unilateral adduction deficits and simultaneous abduction of the eyes on attempted lateral gaze into the field of action of the apparently paretic medial rectus muscle. This is the first report of a series of patients with this condition previously termed simultaneous or synergistic divergence. All patients had a large exotropia, and two had a horizontal face turn away from the involved eye. A large (14 mm) lateral rectus muscle recession done on one of these children reduced the face turn but did not eliminate the simultaneous abduction. Clinical, intraoperative, and electromyographic data suggest that this condition is an unusual variant of type 2 Duane's syndrome.
ISSN:0161-6420
DOI:10.1016/S0161-6420(87)33346-9