DUANE RETRAKSİYON SENDROMUNDA KLİNİK BULGULAR VE CERRAHİ SONUÇLARIMIZ

Year 2004, Volume: 10 Issue: 2, 73 - 76, 01.06.2004

Bilgehan Sezgin Meltem Karabacak Levent Sağban Mustafa Oğuztöreli

Abstract

Duane retraksiyon sendromlu 32 hasta retrospektif olarak değerlendirilerek oftalmolojik bulguları ve cerrahi sonuçları kaydedildi. Çalışma grubunda 25 kadın ve 7 erkek vardı. Olguların ortalama yaşı 13.7 idi.Olguların %87.5’i unilateral olup, sıklıkla sol göz tutulmuştu.Vakaların %93.7’si tip 1, %6.2’si tip 2 idi. Özellikle primer pozisyonda esotropyaları mevcuttu %40.6 . Hastaların %46.8’inde hipermetropi, %21.8’inde anisometropi ve %34.3’ünde ambliyopi tespit edildi. Sekiz vakaya tek taraflı horizontal rektus adale geriletmesi yapıldı. Cerrahiyi takiben, primer pozisyonda bütün vakaların deviasyonlarında azalma oldu

Keywords

Duane retraksiyon sendromu, refraksiyon, şaşılık cerrahisi

CLINICAL FINDINGS AND RESULTS OF SURGERY IN DUANE RETRACTION SYNDROME

Abstract

Thirty-two patients with Duane’s retraction syndrome have been evaluated retrospectively and ophthalmologic findings and results of surgery were recorded. There were 25 females and 7 males in the study group. The average age of cases were 13.7 years. 87.5% of the cases were unilateral and left eyes frequently affected. 93.7% of the cases were type 1,and 6.2% were type 2. 40.6% of patients have esotropia in primary position. Hypermetropia was present in 46.8% of patients, 21.8% anisometropia and 34.3% ambliyopia were detected. Eight of the patients were treated with unilateral horizontal rectus muscle recession. Following the surgery in all cases, strabismus in primary position reduced

Keywords

Duane’s retraction syndrome, refraction, strabismus surgery

References

• Kowal VO, Mckeown CA:Duane’s syndrome.Int Ophthalmol Clin 1992; 54:323-25.
• Von Noorden GK: Binokuler vision and ocular motility.Theory and management of strabismus.St Louis:C.V. Mosby, Company 1990; 398-404.
• Duane A: Congenital deficiency of abduction associated with impairment of adduction,retraction movement, contraction of the palpebral fissure and oblique movement of the eye.Arh Ophthalmol 1905; 133-59.
• De Respinis PA,Caputo AR, Wagner RS, Guo S:Duane’s retraction syndrome.Surv Ophthalmol 1993; 3: 257-288.
• Türk S.Bemerkungen zu einnem Falle von Retractions-bewung des Auges.Zentralbl Parkt Augenheilkd 1899; 23: 14-18.
• Pressman HS, Scott WE:Surgical treatment of Duane’s syndrome.Ophthalmol 1986; 93: 29-38.
• Mulhern, M., Keohan, C., and O’Connor,G.: Bilateral abducens nevre lesions in unilateral type 3 Duane’s retraction syndrome. Br. J. Ophthalmol 1994; 78:588.
• Huber A: Electrophysiology of the retraction syndromes.Br. J. Ophthalmol 1974; 58:293-300.
• Von Noorden GK, Maumenee AE: Atlas of strabismus.St Louis: C.V. Mosby Company, 1973; 112-14.
• Abit F, Sezen F, Şencan S: Duane sendromunda anormal baş pozisyonu cerrahi tedavi sonuçları XXI. Ulusal Türk Oftalmoloji Kongresi (1987) Bülteni. İzmir: Karınca Matbaacılık, 1988; 1: 580-84.
• Özkan SB, Sanaç AŞ, Duman S:Duane retraction sendromunda okuler ve sistemik bulgular.T Oft. Gaz. 1988; 22: 273-276.
• Kirkham T.H.: Anisometropia and ambliyopia in Duane’s Syndrome.Am J Oph., 69: 774-7. 1970.
• Scott,A.B., and Wong, G.Y.:Duane’s syndrome: an electromyografic study, Arc Ophthalmol, 1972; 87:140.
• Kirkham TH:Inheritance of Duane’s syndrome. Br J Ophthalmol 1970; 54:323-329.
• Maruo T, Kubota N, Arimota H, Kikuchi R:Duane’s syndrome.Jpn J Ophthalmol 1979; 23:453-69.
• Isenberg S., Urist M.J.: Clinical observation in 101 conscutive patients with Duane Retraction Syndrome.Am. J. Oph.84:419- ,1977.
• Stolovitch C, Michaeli-Cohen A: Surgical Results in Duane’s Syndrome.AAPOS Meeting, 1997 Charleston, South Carolina, USA, Poster.
• Stephen P.Kraft, Md, Frcsc,and Michael P.Clarke, MB, Bchiry, FC Ophth, FRCS:Surgical management of Duane’s retraction syndrome.Ophthalmology Clinics of North America.1992;5:179-92.
• Feretis D, Papastratigakis B, Tsampariakis J. Planning surgeryin Duane’s syndrome.Ophthalmologica 1981; 183: 148-53.
• Gray L.Rogers,MD,Don L.Bremer ,MD.Surgical Treatment of the upshoot and downshoot in Duane’s retraction syndrome ophthalmology 1984; 11, 1380-1382.
• Eisenbaum AM,Parks MM.A study of various surgical approaches for the leash effect in Duane’s syndrome.Presented at the joint session of the American Association for Pediatric Ophthalmology and Strabismus and the American Academy of Ophthalmology, Chicago, 1980.
• Keskinbora H.K.,Ayoğlu İ., Onurlu S., Arslan M.O. Kompansatuvar baş pozisyonu bulunan Duane sendromu olgularında cerrahi tedavi T.Oft.Gaz.1996;26:333-338.
• Gobin, M.H.:Surgical management of Duane’s syndrome, Br.J.Ophthalmol 1974; 58:301.
• Budak K., Erkam N. Duane retraksiyon sendromu:Cerrahi.Oftalmoloji 1994; 3:24-28