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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 12/2018

01-12-2018 | Pediatrics

Lateral rectus muscle recession for intermittent exotropia with anomalous head position in type 1 Duane’s retraction syndrome

Authors: Ju-Yeun Lee, Kyung-Ah Park, Sei Yeul Oh

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 12/2018

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Abstract

Background

We questioned how to treat for intermittent exotropia in type 1 Duane’s retraction syndrome (DRS). To avoid secondary abduction deficit and late overcorrection on the affected eye following ipsilateral lateral rectus (LR) recession, we performed less correction of the lateral rectus (LR) recession to correct exodeviation and anomalous head position (AHP). We report the surgical outcomes of LR recession in patients with unilateral type 1 DRS.

Methods

Four patients who underwent less correction of LR recession in the affected eye to correct intermittent exotropia and AHP to the contralateral side in type 1 DRS were enrolled. Data on preoperative and postoperative angle of exodeviation, degree of AHP, ocular motility, global retraction, palpebral fissure change, and complications were retrospectively obtained. Success was defined as postoperative deviation within 8 prism diopters (PD) and AHP < 5°.

Results

The preoperative angles of exodeviation and AHP were significantly improved after LR recession. The median grade of abduction limitation was improved from − 1.3 to − 0.8 postoperatively. Final median value of deviation was orthotropia in the primary position of the eye with the normal motility. All patients had successful outcomes without overcorrection or further abduction limitation in DRS eyes.

Conclusions

Less correction of ipsilateral LR recession may be useful for correcting intermittent exotropia and AHP in patients with type 1 DRS.
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Metadata
Title
Lateral rectus muscle recession for intermittent exotropia with anomalous head position in type 1 Duane’s retraction syndrome
Authors
Ju-Yeun Lee
Kyung-Ah Park
Sei Yeul Oh
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 12/2018
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-018-4079-5

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