Journal of binocular vision and ocular motility · 2026
Clinical Profile and Surgical Outcomes of Bilateral Duane Syndrome with Exotropia.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lasrado Adeline Shona, Chattannavar Goura, Kekunnaya Ramesh
Аннотация
OBJECTIVE: To study the clinical profile and surgical outcomes of patients with bilateral Duane syndrome with exotropia.
METHODS: The records of all consecutive patients diagnosed with bilateral Duane syndrome with exotropia in primary gaze (2010-2024) were reviewed. Patient demography, age at presentation, and type of Duane syndrome were studied in the clinical profile. The pre-operative and post-operative details of angle of deviation, abnormal head posture, horizontal ocular ductions, grade of globe retraction, and overshoot were evaluated for the surgical outcomes.
RESULTS: Forty-five patients (male, 51%) were diagnosed with bilateral Duane syndrome with exotropia, of which 38% underwent surgical correction. The mean age at presentation was 18.06 ± 12.08 years. Of the total, 37% were emmetropic and 29% amblyopic. Bilateral type 3 Duane syndrome (49%) was the most common presentation. The mean pre-operative deviation for distance and near was 29.84 ± 17.73Δ and 32.49 ± 18.44Δ, respectively. The mean change in angle of deviation post-operatively for distance and near was 23 ± 5Δ and 26 ± 5Δ, respectively. The average angle of deviation at the final follow-up for distance was 8 ± 12Δ and near 12 ± 12Δ. Surgical success for primary position deviation, abnormal head posture, globe retractions, and overshoots was achieved in 59%, 86%, 57%, and 50% patients, respectively.
CONCLUSION: Bilateral type 3 is the most common bilateral Duane syndrome with exotropia. Individualized surgical management (algorithm) ensures optimal alignment and head posture correction.
METHODS: The records of all consecutive patients diagnosed with bilateral Duane syndrome with exotropia in primary gaze (2010-2024) were reviewed. Patient demography, age at presentation, and type of Duane syndrome were studied in the clinical profile. The pre-operative and post-operative details of angle of deviation, abnormal head posture, horizontal ocular ductions, grade of globe retraction, and overshoot were evaluated for the surgical outcomes.
RESULTS: Forty-five patients (male, 51%) were diagnosed with bilateral Duane syndrome with exotropia, of which 38% underwent surgical correction. The mean age at presentation was 18.06 ± 12.08 years. Of the total, 37% were emmetropic and 29% amblyopic. Bilateral type 3 Duane syndrome (49%) was the most common presentation. The mean pre-operative deviation for distance and near was 29.84 ± 17.73Δ and 32.49 ± 18.44Δ, respectively. The mean change in angle of deviation post-operatively for distance and near was 23 ± 5Δ and 26 ± 5Δ, respectively. The average angle of deviation at the final follow-up for distance was 8 ± 12Δ and near 12 ± 12Δ. Surgical success for primary position deviation, abnormal head posture, globe retractions, and overshoots was achieved in 59%, 86%, 57%, and 50% patients, respectively.
CONCLUSION: Bilateral type 3 is the most common bilateral Duane syndrome with exotropia. Individualized surgical management (algorithm) ensures optimal alignment and head posture correction.