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Nishida’s procedure combined with medial rectus recession for large-angle esotropia in Duane syndrome

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Abstract

Background

Two patients presented large-angle esotropia due to unilatelal Duane syndrome type I.

Cases

We report the course of a simple muscle transposition procedure (the Nishida procedure) with medial rectus muscle recession for large-angle esotropia in two cases of unilateral Duane syndrome type I.

Observations

Case 1: A 5-year-old boy had Duane syndrome type I OS. He had esotropia of 40 prism diopters, and the left eye could not abduct to the midline. Postoperatively, his esotropia decreased to 6 prism diopters and the abduction improved to 45°. Case 2: A 5-year-old girl had Duane syndrome type I OS with a marked facial turn. She had esotropia of 40 prism diopters in primary position, and the left eye could not abduct to midline. Postoperatively, the facial turn resolved, the esotropia decreased to 8 prism diopters, and the abduction improved to 30°.

Conclusion

This procedure improves large-angle esotropia and abduction deficits in unilateral Duane syndrome type I.

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References

  1. Nishida Y, Hayashi O, Oda S, Kakinoki M, Myake T, Inoki Y, et al. A simple muscle transposition procedure for abducens palsy without tenotomy or splitting muscles. Jpn J Ophthalmol. 2005;49:179–80.

    Article  PubMed  Google Scholar 

  2. Barbe ME, Scott WE, Kutschke PJ. A simplified approach to the treatment of Duane’s syndrome. Br J Ophthalmol. 2004;88:131–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Britt MT, Velez FG, Velez G, Rosenbaum AL. Vertical rectus muscle transposition for bilateral Duane syndrome. J AAPOS. 2005;9:416–21.

    Article  PubMed  Google Scholar 

  4. Kubota N, Takahashi H, Hayashi T, Sakaue T, Maruo T. Outcome of surgery in 124 cases of Duane’s Retraction Syndrome (DRS) treated by intraoperatively graduated recession of the medial rectus for esotropic DRS, and of the lateral rectus for exotropic DRS. Binocul Vis Strabismus Q. 2001;16:15–22.

    CAS  PubMed  Google Scholar 

  5. Nelson LB. Severe adduction deficiency following a large medial rectus recession in Duane’s retraction syndrome. Arch Ophthalmol. 1986;104:859–62.

    Article  CAS  PubMed  Google Scholar 

  6. Foster RS. Vertical muscle transposition augmented with lateral fixation. J AAPOS. 1997;1:20–30.

    Article  CAS  PubMed  Google Scholar 

  7. Gobin MH. Surgical management of Duane’s syndrome. Br J Ophthalmol. 1974;58:301–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Molarte AB, Rosenbaum AL. Vertical rectus muscle transposition surgery for Duane’s syndrome. J Pediatr Ophthalmol Strabismus. 1990;27:171–7.

    CAS  PubMed  Google Scholar 

  9. Ruth AL, Velez FG, Rosenbaum AL. Management of vertical deviations after vertical rectus transposition surgery. J AAPOS. 2009;13:16–9.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors thank Yasuhiro Nishida, MD, PhD, for his technical advice.

Conflict of interest

The authors have no proprietary interest in any aspect of this report.

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Authors and Affiliations

  1. Division of Ophthalmology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan

    Michiko Tanaka, Sachiko Nishina, Shigeko Ogonuki, Shouko Akaike & Noriyuki Azuma

Authors
  1. Michiko Tanaka
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  2. Sachiko Nishina
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  3. Shigeko Ogonuki
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  4. Shouko Akaike
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  5. Noriyuki Azuma
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Corresponding author

Correspondence to Sachiko Nishina.

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Tanaka, M., Nishina, S., Ogonuki, S. et al. Nishida’s procedure combined with medial rectus recession for large-angle esotropia in Duane syndrome. Jpn J Ophthalmol 55, 264–267 (2011). https://doi.org/10.1007/s10384-011-0020-8

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  • DOI: https://doi.org/10.1007/s10384-011-0020-8

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