To report results of unilateral medial rectus recession in improvement of ocular alignment in patients with unilateral or bilateral esotropic duane syndrome

Nithya Sridharan Sridharan and Shashikan .

Abstract


METHOD:The medical records of patients who underwent unilateral medial rectus recession for EsoDuane syndrome  from(2016–2017)were retrospectively reviewed for head posture and motor alignment.

RESULTS :12  patients with  unilateral or bilateral Eso Duane syndrome underwent unilateral medial rectus. Mean  age of patients was 8.08 years. Female  (58.3%) was predominant. Left eye was involved in 83.3% of patients and 83.3 %(n=10) were unilateral.Mean  Esotropia improved from 21.83 PD preop  to 10.33 PD post op for near  and 29.41 PD pre op to 11.3 PD post op for distance. Mean abnormal head posture decreased from  18.5 to 7.8 deg.  58.3% achieved   good improvement of head posture post op.Of  the unilateral cases esotropia improved in 70% and  bilateral cases were orthotropic postop.

CONCLUSION: Study shows unilateral medial rectus recession resulted in significant improvement in deviation and abnormal head posture in patients with unilateral or bilateral esotropic Duane syndrome.


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