Assessment of periosteal fixation of partial VRT and lateral rectus in subjects of exotropic duane retraction syndrome
A prospective clinical study
Keywords:
Duane retraction syndrome, exotropic Duane retraction syndrome, periosteal fixation, vertical rectus transposition, strabismus surgeryAbstract
Owing to the ability of the lateral rectus to contract during adduction is regained, the surgical procedures only partly relieve the problem. Complete relief is seen only when the innervation to the lateral rectus, which is misdirected, is managed effectively. The present study was conducted to prospectively evaluate the efficacy of periosteal fixation of the lateral rectus muscle and periosteal fixation along with the partial VRT in subjects with Exo-DRS. 15 subjects with Exo-DRS were randomly divided into two groups, where Group I (n=7) subjects were treated with periosteal fixation of the lateral rectus muscle and Group II (n=8) subjects were treated using periosteal fixation of the lateral rectus muscle with split VRT. At 1 week, 1 month, and 3 months postoperatively, exophthalmometry, binocular single visual field, abduction and adduction range, and prism bar cover test was assessed. Adduction changed postoperatively from -1.7 to -0.5 in subjects of Group I and from -1.3 to -0.5 in subjects of Group II. TBSF (Total binocular single visual field) was 14.5 in subjects of Group I preoperatively and was 11.6 in subjects of Group II postoperatively. This change postoperatively was significant in both groups. In Group I.
Downloads
References
Kekunnaya R and Negalur M: Duane retraction syndrome: causes, effects, and management strategies. Clin Ophthal (Auckland, NZ). 2017;1:19.
Sachdeva V, Kekunnaya R, Gupta A, Bhoompally VR. Surgical management of bilateral esotropic Duane syndrome. J AAPOS. 2012;16:445–8.
Akbari MR, Manouchehri V, Mirmohammadsadeghi A. Surgical treatment of Duane retraction syndrome. J Curr Ophthalmol. 2017;29:248–57.
Sharma P, Gaur N. Management of Duane retraction syndrome: a simplified approach. Indian J Ophthalmol. 2019;67:16.
Farid MF. Y-split recession vs isolated recession of the lateral rectus muscle in the treatment of vertical shooting in exotropic Duane retraction syndrome. Eur J Ophthalmol. 2016;26:523-8.
Rao VB, Helveston EM, Sahare P. Treatment of upshoot and down shoot in Duane syndrome by recession and Y splitting of the lateral rectus muscle. J AAPOS 2003;7:389 95.
Morad Y, Kowal L, Scott AB. Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall. Br J Ophthalmol 2005;89:983 5.
Andalib D, Javadzadeh A. Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall in exotropic Duane syndrome: A case report. J Med Case Rep 2008;2:253.
Britt MT, Velez FG, Velez G, Rosenbaum AL. Vertical rectus muscle transposition for bilateral Duane syndrome. J AAPOS 2005;9:416 21.
Parsa CF. A practical and theoretically optimal surgical approach to Duane syndrome. In: de Faber JT, editors. Strabismus 2006; Proceedings of the Joint Congress of the International Strabismological Association, ISA and the First Extraordinary Meeting of the Latin American Council of Strabismus, CLADE. Rio de Janeiro, Brazil: Cultura Medica; 2006, pp 315 20.
Velez FG, Foster RS, Rosenbaum AL. Vertical rectus muscle augmented transposition in Duane syndrome. J AAPOS 2001;5:105 13.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
