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A Case of Congenital Inverse Duane's Retraction Syndrome

Authors
 Helen Lew  ;  Jong-Bok Lee  ;  Hee-Seon Kim  ;  Sueng-Han Han 
Citation
 Yonsei Medical Journal, Vol.41(1) : 155-158, 2000 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2000
MeSH
Child ; Contracture/etiology ; Contracture/physiopathology ; Duane Retraction Syndrome/complications ; Duane Retraction Syndrome/congenital* ; Duane Retraction Syndrome/physiopathology ; Duane Retraction Syndrome/surgery ; Eye Movements ; Female ; Humans ; Oculomotor Muscles/physiopathology ; Oculomotor Muscles/surgery
Keywords
Forced duction test ; inverse Duane's retraction syndrome ; tenotomy ; tight contracture
Abstract
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.
Files in This Item:
T200003606.pdf Download
DOI
10.3349/ymj.2000.41.1.155
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jong Bok(이종복)
Han, Seung Han(한승한) ORCID logo https://orcid.org/0000-0001-8972-4790
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171937
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