Fixation preference for the affected eye in patients with unilateral Duane syndrome

J AAPOS. 2006 Jun;10(3):275-6. doi: 10.1016/j.jaapos.2006.01.009.

Abstract

Duane retraction syndrome is a congenital incomitant strabismus caused by dysinnervation of the medial and lateral rectus muscles. Patients with unilateral Duane syndrome (80-90% of cases) who exhibit a fixation preference tend to prefer the unaffected eye. We describe 8 patients with unilateral Duane syndrome who prefer the affected eye. The most frequent associated ophthalmic finding was decreased vision in the unaffected eye from anisometropia and/or amblyopia. An additional associated finding was decompensated intermittent exotropia in 2 patients.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Adult
  • Amblyopia / complications
  • Amblyopia / physiopathology
  • Amblyopia / therapy
  • Anisometropia / complications
  • Anisometropia / physiopathology
  • Anisometropia / therapy
  • Bandages
  • Child, Preschool
  • Duane Retraction Syndrome / complications
  • Duane Retraction Syndrome / physiopathology*
  • Duane Retraction Syndrome / therapy
  • Eye Movements
  • Female
  • Fixation, Ocular / physiology*
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Oculomotor Muscles / physiopathology*
  • Prognosis
  • Refraction, Ocular
  • Retrospective Studies
  • Sensory Deprivation
  • Severity of Illness Index