Abstract
In the cases of vertical retraction syndromes previously reported in the literature, the “leash effect” ofvertical recti was responsible for a limitation of motility and for retraction in up- or down-gaze. This vertical retraction syndrome mimics Duane's syndrome and benefits from recession of the taut vertical recti. In the case reported, another mechanism had led to vertical retraction syndrome. In a bilateral horizontal Duane's syndrome, the physiological co-contraction of abnormally shorthorizontal recti in vertical gaze was responsible for vertical retraction syndrome and even for a positive vertical forced duction test. The vertical motility was returned to normal by recession of the four horizontal recti.
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Dedicated to Dr. G.K. von Noorden on the occasion of his 60th birthday
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Spielmann, A. Bilateral vertical retraction syndrome in horizontal bilateral Duane's syndrome. Graefe's Arch Clin Exp Ophthalmol 226, 425–427 (1988). https://doi.org/10.1007/BF02170001
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DOI: https://doi.org/10.1007/BF02170001