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Reoperations in Duane retraction syndrome | 56976
Journal of Clinical and Experimental Ophthalmology

Journal of Clinical and Experimental Ophthalmology
Open Access

ISSN: 2155-9570

+44 1223 790975

Reoperations in Duane retraction syndrome


3rd Global Pediatric Ophthalmology Congress

March 22-23, 2018 | London, UK

Andreea Ciubotaru

Infosan Eye Clinic, Romania

Scientific Tracks Abstracts: J Clin Exp Ophthalmol

Abstract :

Introduction: Patients with strabismus who have undergone previous eye muscle surgery often present a challenge to strabismus surgeons, especially in restrictive strabismus cases like Duane��?s retraction syndrome (DRS). Even has been a recognized clinical entity for nearly a century, DRS is sometime mistaken for essential infantile esotropia or abducens paralysis. Methods: We retrospectively evaluated 15 patients undergoing surgery for esotropia 4 to 22 years ago in other eye clinics. All patients were referred to us for the misalignment in primary position and abnormal head position. After the previous operation, nine patients developed a consecutive exotropia (group 1) and six of them were still esotropic in primary position (group 2). Angle of strabismus in primary position, head posture, abduction and adduction of the affected eye were measured before and after surgery in our clinic. Photos from childhood were reviewed and the diagnosis for all was DRS. Results: 12 patients have first heard about DRS. In group 1, the intraoperative findings showed a previous medial rectus recession (in the affected eye) in six cases and a contralateral medial rectus recession (in the normal eye) in three cases. The mean deviation in primary position decreased from 28 prism diopters (PD) exotropia preoperatively to eight PD exotropia postoperatively. In group 2, the intraoperative findings showed in the affected eye a previous medial rectus recession in three cases and lateral rectus resection in three cases. The mean deviation in primary position decreased after reoperation from 25 PD esotropia preoperatively to 10 PD esotropia postoperatively. All patients improved their abnormal head posture after reoperation. Conclusion: Although the clinical findings and the surgical approach in Duane��?s retraction syndrome are very clear, in medical practice from Romania we meet even today misinterpreted forms of DRS requiring reoperation.

Biography :

Ciubotaru Andreea completed her Medical degree at Carol Davila University of Medicine and Pharmacy, Romania in 1998 and; Ophthalmology Residency at Emergency Eye Hospital, Bucharest from 2000–2005. In 2011, she completed her PhD at Ludwig Maximilian University Munich, Germany, with the thesis entitled “The superior oblique posterior tenectomy as therapy for congenital Brown’s syndrome”. Since 2007, she is the Medical Director of Infosan Eye Clinic Bucharest; President of Romanian Society of Pediatric Ophthalmology and Strabismus and Member of Romanian Society of Cataract and Refractive Surgery and Board Member of Romanian Society of Ophthalmic Genetics. She contributes as author in many Romanian and international congresses and also books of ophthalmology. Her preferred topics are strabismus, amblyopia, congenital cataract, and ophthalmic genetics.
Email:andreea@infosan.com.ro
 

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