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         Duane Retraction Syndrome:     more detail
  1. Duane retraction syndrome: An entry from Thomson Gale's <i>Gale Encyclopedia of Genetic Disorders, 2nd ed.</i> by Margaret, PhD Alic, 2005

61. Duane's Syndrome
Boston. Medial Rectus Rerecession for Unacceptable Head-Turn andEsotropia in duane’s retraction syndrome (article abstract).
http://www.nhbvi.com/internet/Eye/duanes.html
Search:
What is Duane's Syndrome? Information from All About Strabismus Information from MRCOphth.com Information from Pediatric Ophthalmic Consultants Information from the Strabismus Web Book
Discussion, Publications, and Support
Duanes Listserv at Yahoo! Groups PubMed list of articles
Research and Treatment
Duane's Syndrome Research at Engle Lab, Children's Hospital, Boston "Medial Rectus Re-recession for Unacceptable Head-Turn and Esotropia in Duane’s Retraction Syndrome" (article abstract)

62. Duane's Syndrome
duane's syndrome duane's retraction syndrome is an eye movement disorder characterizedby a failure of the 6th cranial nerve to develop normally.
http://www.angelfire.com/pa3/babyland/duanesyndrome.html
Duane's Syndrome
Duane's Syndrome is a congenital abnormality involving the innervation of the eye muscles. It most commonly occurs as an isolated event. It affects girls more than boys and the left eye more often than the right eye. Most commonly the eye does not turn out well (Type I), next most common is the condition where the eye does not move in or out (Type III), and last is the condition there the eye does not move in (Type II). In my opinion, the most commonly accepted indications for surgery in individuals with Duane's Syndrome is when the eye is crossed in straight ahead gaze, or when the person has to turn the head significantly in order to fuse the two eyes and eliminate double vision. None of the standard surgical options improve the ability of the eye to turn out much....the goal is generally to eliminate the crossing in primary position or to eliminate the head turn.
As you know Duane's syndrome is a condition that affects the movement of one eye. The eyelid opening may also change during certain positions of gaze. The syndrome is caused by poor development of one of the nerves that controls eye movement. Fortunately, most children do very well. Most children do not require surgery. This condition does require regular monitoring of the vision by an experienced ophthalmologist to make sure the child is not developing a lazy eye. If the child is developing a lazy eye (poor vision) than surgery to correct the position of the eye is indicated. As you mentioned, surgery may also be indicated if there is a significant head turn.

63. Nature Publishing Group
restricted with some narrowing of the left palpebral fissure and retraction ofthe globe, giving rise to the diagnosis of left duane's retraction syndrome.
http://www.nature.com/cgi-taf/DynaPage.taf?file=/eye/journal/v16/n1/full/6700014

64. Service Page - Pathologie Information
duane syndrome is a congenital form of strabismus characterized by horizontal eyemovement limitation, globe retraction with palpebral fissure narrowing in
http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Lng=GB&Expert=233

65. 11/22 Families Issue 12 May 2000
duane's retraction syndrome, small genitals, some speech delays. Pablohas been recently diagnosed with duane's retraction syndrome.
http://www.geocities.com/chromosome22central/ces12.htm
CAT EYE SYNDROME FAMILIES,
CES with the following associated anomalies, TAPVR, anal atresia, and also has ADD. Joy, children Collin, 10/22/93 and Connor 2/15/97 Both affected Oregon USA
Imperforate anus, ear tag, low muscle tone, in both fine and gross motor. Duane's retraction syndrome, small genitals, some speech delays. Both have similar symptoms. Both boys had to have a colostomy at birth.
Chad was born with coloboma of the iris in his left eye, anal atresia, ear tag, extra finger digit, mild aortic insufficiency, scoliosis and has mild mental retardation. He was developmentally delayed in most areas. He has been in Special education since the age of 3. We have struggled through the years with various behaviour problems, ADHD, OCD and hypo-mania. Amy, child Mitchell, 8/13/99 MI Pablo has been recently diagnosed with Duane's Retraction Syndrome. For the past 3 yrs we thought he had a lazy eye. We even tried patching it. Now his Dr has realized it is this syndrome which basically means no peripheral vision. We don't anticipate any difficulties because of it. It's just a little detail I'll have to make sure his teacher understands. His OT believes this has contributed to his visual-spatial delays. He is still behind in fine motor development. ISSUE 12 HOME

66. Increased Binocular Enhancement Of Contrast Sensitivity And Reduced Stereoacuity
Increased Binocular Enhancement of Contrast Sensitivity and Reduced Stereoacuityin Patients with duane's retraction syndrome. Purpose
http://www.city.ac.uk/avrc/groups/vpp/example4.html
AVRC Visual Psychophysics and Perception research group
Increased Binocular Enhancement of Contrast Sensitivity and Reduced Stereoacuity in Patients with Duane's Retraction Syndrome.
Purpose:
Patients with DRS have intermittent binocular stimulation and reduced stereoacuity. To test the possibility that Duanes patients have reduced numbers of binocular neuroens we tested their monocular and binocular contrast sensitivity in comparison with matched controls. Paradoxically, we found increased levels of summation in the Duanes patients. We believe that this was due to decreased monocular sensitivity, particularly in the deviating eye, combined with normal binocular sensitivity. Ithese findings were reported at ARVO 2000 and have been submitted for publication to IOVS. Another interesting aspect of our findings is that Duanes patients showed a specific loss of contrast sensitivity at high spatial frequencies (> 10 cpd). We wonder whether normal binocular development is needed for high-spatial frequency channels.
Supported by:
Moorfields Eye Hospital and the Applied Vision Research Centre.

67. Accardo A.P.
duane's retraction syndrome (DRS) is a neurogenic brainstem ocular motor dysfunctionso named because of the retraction of the globe (caused by synchronous
http://www.phys.uu.nl/~ecem10/Abstracts/Accardo_A.P.html
Oculography in the diagnosis of bilateral Duane's syndrome A.P. Accardo , S. Pensiero P. Perissutti , A. Vinciguerra D.E.E.I., University of Trieste, Via Valerio 10, I-34100 Trieste, Italy (e-mail: accardo@deei.univ.trieste.it
Department of Ophthalmology, Children's Hospital of Trieste, Italy Duane's Retraction Syndrome (DRS) is a neurogenic brainstem ocular motor dysfunction so named because of the retraction of the globe (caused by synchronous contraction of the horizontal recti) and narrowing of the lid fissure that occur on attempted adduction. DRS may be bilateral (15 - 20% of cases). By using EMG examination, this syndrome can be classified into three types (Huber, 1974, Brit. J. Ophthalmol., : 293-300): I) Palsy of abduction with retraction on adduction. EMG shows absence of electrical activity in the lateral rectus muscle on abduction but paradoxical electrical activity on adduction. II) Palsy of adduction with retraction, and intact abduction. EMG reveals electrical activity with contraction of the lateral rectus muscle on both abduction and adduction. III) Palsy of adduction and abduction, with retraction on attempted adduction. The EMG demonstrates co-contraction of the horizontal recti on both adduction and abduction. Because the EMG is not easily applicable to paediatric patients, other instrumental examinations like eye movements recording have been proposed. As shown by Metz (1975

68. Dr. Rudolph Wagner: Publications
Infantile abduction deficit duane's retraction syndrome or abducens palsy? A studyof 24 cases. duane's retraction syndrome. Surv Ophthalmol 1993; 38 25788.
http://www.umdnj.edu/eyeweb/library/wagrbibl.html
NEW JERSEY MEDICAL SCHOOL
THE INSTITUTE OF OPHTHALMOLOGY AND VISUAL SCIENCE
FROM THE ARCHIVES OF RUDOLPH S. WAGNER , MD BIOGRAPHICAL SKETCH ARTICLES 1. Guo S, Ratnakaram R, Wagner R , Caputo A, Garruto D, DeRespinis P, Zarbin M. Useful surgical pearls.
J Pediatr Ophthalmol Strabismus 2002;39:67. 2. DeRespinis PA, Wagner RS . How and when to prescribe eyeglasses in preverbal children. Ophthalmology 2001; 225 (Suppl). Wagner RS , Alcorn D, Caputo AR. The diagnostic and treatment of ophthalmic cases in children. Infect Dis Child 2001; (Suppl). Wagner RS , Alcorn D, Gigliotti F, Rabinowitz R. Management of conjunctivitis, part 2: mimics and monobacterial disease. Contemp Pediatr 2001; (Suppl). Wagner RS . September 11 and ophthalmology [editorial]. J Pediatr Ophthalmol Strabismus 2001;38:323. Wagner RS . Pediatric ophthalmology [editorial]. Pediatr Ann 2001;30:444.

69. Strabismus & Paediatrics Publications
Reduced binocular beat visual evoked responses and stereoacuity in binocular patientswith duane's retraction syndrome, Invest Ophthalmol Vis Sci, 42(2001)2826
http://www.site4sight.org.uk/ResAreas/Strab/General/Strabpub.htm
You Are Here : The O.R.N. Home Research Index Search This Site
Links to Medline On-line Journals Title Journal Ref Date Authors Electrophysiological and psychophysical differences between early- and late-onset strabismic amblyopia. Abstract Invest Ophthalmol Vis Sci 2003, Feb Davis AR, Sloper JJ, Neveu MM, Hogg CR, Morgan MJ, Holder GE. Update on squint and amblylopia J R Soc Med 2003, Jan Adams GG, Sloper JJ Title Journal Ref Date Authors Contact lenses in the management of high anisometropic amblyopia Abstract Eye 2002, Sep Roberts CJ, Adams GG. Binocular function in patients with refractive monovision Abstract J AAPOS 2002, Aug Sloper JJ, Adams GG. Two-incision push-pull capsulorhexis for pediatric cataract J Cataract Refrect Surg 2002, Apr

70. OSL: Lateral Rectus Split In The Management Of Duane’s Retraction Syndrome
Volume 31 (6) * November/December 2000 * Case Reports (abstract). LateralRectus Split in the Management of duane’s retraction syndrome.
http://www.slackinc.com/eye/os/stor1100/CaseChandra.htm
Ophthalmic Surgery and Lasers
[About Ophthalmic Surgery and Lasers [Table of Contents]
Volume 31 (6) * November/December 2000 * Case Reports (abstract)
Jaya Chandra Das, MD; Zia Chaudhuri, MS, DNB; Sharad Bhomaj, MS; Pankaj Sharma, MBBS
Abstract
Ophthalmic Surg Lasers
AUTHORS
From the Department of Ophthalmology, Guru Nanak Eye Centre, Maulana Azad Medical College, Universtiy of Delhi, New Delhi, India. Accepted for publication May 8, 2000. Address reprint requests to Zia Chaudhuri, MS, DNB, E-310, Purvasha, Anand Lok Society, Mayur Vihar Phase-I, Delhi-110091, India.
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71. OSL: Medial Rectus Re-recession For Unacceptable Head-Turn And Esotropia In Duan
Volume 28 (9) * September 1997 * Case Report (abstract). Medial Rectus Rerecessionfor Unacceptable Head-Turn and Esotropia in duane’s retraction syndrome.
http://www.slackinc.com/eye/os/stor0997/bi.htm
Ophthalmic Surgery and Lasers
[About Ophthalmic Surgery and Lasers [Table of Contents]
Volume 28 (9) * September 1997 * Case Report (abstract)
Ben Zion Biedner, MD
ABSTRACT
Ophthalmic Surg Lasers
AUTHORS
From the Department of Ophthalmology, Soroka Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Accepted for publication May 23, 1997. Request reprints from Ben Zion Biedner, MD, Department of Ophthalmology, Soroka Medical Center, P. O. Box 151, Beer-Sheva 84101, Israel.
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Go to Ophthalmic Surgery and Lasers.
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72. What Is Duane's Syndrome? Definition, Causes, Treatments
duane's syndrome (type I) is made up of three parts an inability to move an eye fromthe nose with widening of the eyes (palpebral fissure), retraction of the
http://www.strabismus.org/Duane_Syndrome.html
You are here: Optometrists Network www.strabismus.org All About Strabismus Types ...
All About Strabismus

by Dr. Jeffrey Cooper Duane's Syndrome
Duane's Syndrome (type I)

Duane's syndrome (type I) is made up of three parts: an inability to move an eye laterally away from the nose with widening of the eyes (palpebral fissure), retraction of the eye when attempting to look close or towards ones nose; and retraction of the eye. In the picture above the left eye can not look left while in the picture below, the eye moves back in the socket with narrowing of the aperture of the eyes. There are two other uncommon types of Duanes: Duane II where by the eye has trouble looking toward the nose (opposite to Duane's I); and Duane III made up of a combination of I and II. A patient with Duane's is likely to have an eye turn inwards at distance.
Duane's Syndrome (type I)
It may be confused with a paralysis of the muscle which causes the eye to turn outwards (lateral rectus) resulting in an unnecessary neurological workup. Duane's is usually congenital and may be associated with other congenital disorders. It was originally thought to be due to fibrosis of one the eye muscles, today we know it is due lack of development of the nucleus (control center in the brain) of the sixth nerve. Interestingly, most of these patients do not have diplopia (double vision) on lateral gaze. Surgery should not be performed unless there is a cosmetic problem when looking straight ahead. A simpler solution than surgery is special glasses with prism to eliminate the head turn. Some of these patients have secondary convergence problems, which are effectively treated by vision therapy.

73. Q A
I agree with the opinion given to him by several of my colleagues, thathis condition, duane's retraction syndrome, is not treatable.
http://www.doctorinternet.co.uk/qa.html

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74. Duane's Retraction Syndrome In Siriraj Hospital
duane's retraction syndrome in Siriraj Hospital Thammanoon Thirtyone cases(0.75%) of duane's retraction syndrome were diagnosed. duane's
http://www.rcopt.org/journal/vol12/vol12.1.15.htm
The Thai Journal of Ophthalmology
The Opthalmological Society of Thailand

Official Publication of the Royal College of Ophthalmologist and Ophthalmological Society of Thailand
Duane's Retraction Syndrome in Siriraj Hospital Thammanoon Surachatkumtonekul M.D.*
Dhaivadee Dulyajinda M.D.*
Suchada Songcharoen M.D.*
Sutha Neungniyom B.E. (Science)*
*Department of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University ABSTRACT : The purpose of this study is to determine the incidence, type, indication and result of surgery of Duane's retraction syndrome in Siriraj Hospital. The authors retrospectively analyzed the records of patients in muscle clinic between March 1, 1985 to March 31, 1998. Thirty-one cases of Duane's retraction syndrome were diagnosed. Duane's retraction syndrome type I is the most common (80%). Cases are more common in females (1.2 : 1). Majority of cases are unilateral. Amblyopia is detected in 16.13% of all cases. Most of indications for corrective surgery is the angle of deviation exceeds 20 A (prism diopters) or there is abnormal head position. The satisfactory outcome is found in Even though Duane's retraction syndrome is a rare con dition but the precision of the diagnosis is essentially important in order to detect amblyopia and correct abnormal head position.

75. Electrophysiology, Abstracts
inferior oblique. It is suggested that this unique ocular motor abnormalityrepresents a new type of duane's retraction syndrome.
http://www.ukl.uni-freiburg.de/aug/edg/abstracts.html
Augenklinik Allg. Neuroo. Mitarbeiter ...
Electrophysiology Lab : Abstracts
For reprints, mail
  • A 30-fold multielectrode for extracellular recording of neuronal spikes is described. Single neuronal spikes were isolated simultaneously by about half of the electrodes. The technique has been applied to demonstrate that spatial distribution of ocular dominance and orientation preference in striate cortex.
  • Fischer B, Boch R, Bach M (1981) Stimulus versus eye movements: Comparison of neural activity in the striate and prelunate visual cortex (A17 and A19) of trained rhesus monkey. Exp Brain Res 43:69-77
  • Using a multi-microelectrode, in 5 animals, orientation tuning was measured simultaneously in 30 closely spaced parallel penetrations perpendicular to the surface of the striate cortex. Actual penetration angles were determined by three-dimensional track reconstruction. Above and below layer IVc, two columnar systems were found whose orientation angles were independent.
  • Bach M, Bouis D, Fischer B (1983) An accurate and linear infrared oculometer. J Neurosci Meth 9:9-14

76. Eye Conditions > Duane’s Syndrome -- EyeMDLink.com
Also referred to as Crossed Eyes duane's syndrome is a congenital disorder Classically,on attempted adduction there is retraction of the eye into the socket
http://www.eyemdlink.com/Condition.asp?ConditionID=168

77. File Not Found On AAP Web Site
Eye Hospital, includes concise chapters on congenital esotropia, convergence insufficiency,cranial nerve palsies, duane's retraction syndrome, Brown's syndrome
http://www.aap.org/bpi/Ophthalmology.html

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Search Site Map BookStore ... Home The file that you have requested could not be found on the AAP Web site. You will be automatically redirected to the main page of our Web site. Please wait or click here © 2002 - American Academy of Pediatrics

78. The EOPS Source Index 1981
anomalies 8153 Weber F Buphthalmos due to an unusual malformation of the anteriorsegment 81-54 Green WR Bilateral duane's retraction syndrome 81-55 Tso MOM
http://www.helsinki.fi/laak/silk/perus/EOPS1981.html
The EOPS Source Index
Go to Home Previous Next 60's ... Notes
Geneva, May 25th - 28th, 1981
20th/4th Joint Meeting
Andersen S R
Panophthalmitis due to unidentified micro-organism
Foos R Y
Fungal endophthalmitis after intraocular lens implantation
Mullaney J
Hanssens M
Haemosiderosis bulbi or haemochromatosis
Lee W R
Gass J D M
Retinal telangiectasia
No protocol
Jensen O A
Juxta-papillary retinal haemangioblastoma (angiomatosis retinae) in an infant
Manschot W A
(Pre)retinal neovascularization originating in hyalinized arterioles
Hamburg A
Retinoblastoma sanata ?
Yanoff M
Fundus flavimaculatus (Stargardt's disease)
Litricin O
Orbital schwannoma
Ferry A P
Enigmatic osseous orbital tumor
Dhermy P
Muco-epidermoid tumor of the lacrimal gland
Arnesen K
Malignant, amelanotic, spindle cell melanoma with mainly extrabulbar extension.
Balestrazzi E
An orbital tumour for discussion
Morgan G
A large cell centrocytic lymphoma of the orbit
Kock E
Giant cell tumor in the orbit
Garner A
Granular cell myoblastoma of the orbit
Quintana M
Orbital tumor: liposarcoma v/s histiocytoma
Bec P
Orbital tumor of undetermined nature
Zimmerman L E
Haemorrhagic infarction of retina and neovascular glaucoma in an infant due to juvenile xanthogranuloma of optic nerve, disc, and choroid

79. HON - List Of Rare Diseases
DiGeorge syndrome, Diffuse Cerebral Sclerosis of Schilder. duane Retractionsyndrome, Dupuytren's Contracture. Dysautonomia, Familial.
http://www.hon.ch/HONselect/RareDiseases/
List of rare diseases: English Deutsch Acrocephalosyndactylia
Acrodermatitis
... HONewsletter http://www.hon.ch/HONselect/RareDiseases/index.html Last modified: Thu Sep 26 2002

80. Untitled
Sixth Nerve Palsy(Abducens Nerve Palsy). Double Elevator Palsy. duane's Retractionsyndrome. Brown's syndrome. Mobius syndrome. Congenital Fibrosis syndrome.
http://www.members.aol.com/scottolitsky/webbook.htm
Strabismus Web Book
Authors
Scott E. Olitsky, M.D. The Children's Mercy Hospital, Kansas City
Leonard B. Nelson, M.D. Wills Eye Hospital, Philadelphia
Chapters
Pseudoesotropia
Congenital Esotropia Accommodative Esotropia Intermittent Exotropia ... Third Nerve Palsy (Oculomotor Nerve Palsy) Fourth Nerve Palsy (Superior Oblique Palsy) Sixth Nerve Palsy (Abducens Nerve Palsy) Double Elevator Palsy Duane's Retraction Syndrome Brown's Syndrome Mobius Syndrome ... Congenital Fibrosis Syndrome

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