Duanov retrakcijski sindrom - pregled rezultatov kirurškega zdravljenja zadnjih 10 let
Patients operated for Duane's retraction syndrome - overview of the results in the last 10 years

slovenian

2010

volume 79, suplement

Ophthalmoplegia   Strabismus   Surgery   Treatment Outcome

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Background: The surgery in Duanećs retraction syndrome is indicated only in patients where eyes are not straight in the primary position and the patient has to adopt an abnormal head posture to achieve fusion. Patients and methods:12 patients (2 male, 10 female) were operated for Duanećs retraction syndrome in the last 10 years at our clinic. All the patients had Duanećs Type1 (in 9 patients left eye was affected, in 2 right eye was affected, one had billateral Duanećs syndrome). The visual acuity was normal in 7 of them. 5of the patients had ambliopia, mostly because of anisometropia, 7 of the patiens were wearing hypermetropic correction, 2 had myopic correction, otherswere without glasses. The average angle before operation was + 15.8 10.1 °. Results: The retroposition of internal rectus of the affected eye was done in all except one patient, 2 operations were needed in one patient. The average angle one year after operation was + 9.7 7.3°, the angle at the lastvisit at our department was + 10.4 7.5°. The head posture was much better after the operation in most of them. Normal binocular functions (normalfusion or normal stereovision) was achieved in 8 out of 12 patients. Conclusions: In patients with Duanećs retraction syndrome abnormal head posture is indication for surgery. After surgery there was smaller and stable angle of deviation in all our patients, they all had less problems with abnormal head posture.

23.06.2011