Document Detail

A case of congenital inverse Duane's retraction syndrome.
MedLine Citation:
PMID:  10731937     Owner:  NLM     Status:  MEDLINE    
Inverse Duane's retraction syndrome is very uncommon. Congenital cases are even more unusual. A 6-year-old girl with convergent squint along with severe restriction on abduction is described. On attempted abduction, a narrowing of the palpebral fissure, upshoot and retraction of the eyeball were observed. Brain and orbit MRI demonstrated no intracranial or intraorbital mass, fracture, or entrapment of the medial rectus. Forced duction test was strongly positive. The primary lesion was found to be a tight medial rectus with shortening and soft tissue contracture. Surgical tenotomy of the medial rectus led to successful postoperative motility, but some limitation at full adduction and abduction persisted. This is a case reported with congenital medial rectus shortening, suggesting that this condition may be one of the etiologies of the rare inverse Duane's retraction syndrome.
H Lew; J B Lee; H S Kim; S H Han
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Yonsei medical journal     Volume:  41     ISSN:  0513-5796     ISO Abbreviation:  Yonsei Med. J.     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-04-11     Completed Date:  2000-04-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0414003     Medline TA:  Yonsei Med J     Country:  KOREA (SOUTH)    
Other Details:
Languages:  eng     Pagination:  155-8     Citation Subset:  IM    
Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
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MeSH Terms
Contracture / etiology,  physiopathology
Duane Retraction Syndrome / complications,  congenital*,  physiopathology,  surgery
Eye Movements
Oculomotor Muscles / physiopathology,  surgery

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