Duane's Syndrome: What to do and What to Expect

Abstract

The treatment of Duane's retraction syndrome (DRS) is discussed according to Huber's classification of Type I, II, and III. Esotropia, compensatory head posture, enophthalmos and upshoot are the indications for treating Type I. Exotropia, compensatory head turn, enophthalmos and upshoot are the indications for treating Type II. Enophthalmos and upshoot are the indications for treating TYPE III. Satisfactory results are obtained from horizontal rectus muscle recessions for treating esotropia, exotropia and compensatory head posture. Both the medial and lateral rectus muscles must be recessed to improve the enophthalmos. The procedures that appear to have merit for treating the upshoot are recession of the lateral rectus, placing a posterior fixation suture on the lateral rectus, splitting the disinserted lateral rectus with reattachment in a Y configuration, recessing the superior rectus and extirpating the inferior oblique. Downshooting needs no surgical treatment since it is hidden by the upper eyelids covering the eye in downgaze.

• Duane retraction syndrome
• strabismus