Duane retraction syndrome drs is a congenital horizontal eye movement disorder characterized by a marked limitation or absence of abduction, variable limitation of adduction, palpebral fissure narrowing and globe retraction on attempted adduction. Duane retraction syndrome drs a type of relatively rare type of restrictive strabismus. Purpose to determine the relative prevalence of duanes retraction syndrome drs in a population of iranian strabismus cases and to describe the clinical features. Case reports and series are often the first step in advancing medical care through clinical education and inspiring further research. In the most common type the affected eye cannot move outward fully.
Duane syndrome, also called duane retraction syndrome drs, is a congenital and. While duane retraction syndrome drs is relatively common, surgical management of the associated strabismus can be challenging because of the lack of abductionadduction, the variable severity of muscle contracture, and the variety of clinical presentations. Duane syndrome has 3 subtypes which vary depending on which type of eye movement is most restricted. Duanes retraction syndrome drs has been a recognized clinical entity for nearly a century. Duanes retraction syndrome, a case series from iran springerlink.
Pdf to determine the relative prevalence of duanes retraction syndrome drs in a population of iranian. Duane syndrome ds, or duane retraction or cocontraction syndrome. However, numerous cases of familial transmission have been reported with most being bilateral secondary to an autosomaldominant inheritance pattern. When duane s retraction syndrome is familial, it appears to be transmitted. Mild anomalous innervations from the 3rd nerve so the clinical picture is that limited abduction and mild narrowing of the palpebral fissure in adduction figure 2.
Pdf to determine the demographic and clinical profile of various subtypes of duane retraction syndrome drs. Spigen tough armor designed for samsung galaxy s20 ultra case 2020 gunmetal. Each child of an individual with duane syndrome that is known to result from a chn1 mutation has a 50% chance of inheriting the condition. Most individuals with isolated duane syndrome having no other features or underlying disorder are simplex cases i. This page covers information specific to new york and should be read in conjunction with the general section on retraction in the section on correcting or retracting your work after publication which has additional information applicable to all. Ebscohost serves thousands of libraries with premium essays, articles and other content including duane syndrome. Surgical management of strabismus in duane retraction syndrome. Adduction is limited in both eyes, but enophthalmos and up and down shoot are seen mostly in the right eye. When the penis retracts into the scrotum it can be difficult to use a conventional sheath or bodyworn urinal. It is now listed as a congenital cranial dysinnervation disorder. Jun 19, 2019 fissure changes and the other associated characteristics of duane syndrome, such as upshoots or downshoots and globe retraction, are also vital when deciding whether any abduction limitation is the result of duane syndrome and not a consequence of cranial nerve vi or abducens cranial nerve palsy. In a demographical and clinical profile based on 441 cases.
The causes of duanes retraction syndrome each human eye has six muscles around it which coordinate with the muscles of the other eye to allow the eyes to move together to look in different directions. It is a clinically well described ocular disorder consisting of retraction of the globe with narrowing of the lid fissure in attempted adduction, frequent abduction deficiency with variable limitation to adduction, and upshoot andor downshoot of the. Fissure changes and the other associated characteristics of duane syndrome, such as upshoots or downshoots and globe retraction, are also vital when deciding whether any abduction limitation is the result of duane syndrome and not a consequence. The other types of duane syndrome affect inward movement or both inward and outward movement. Duane syndrome has been subdivided clinically into three types. Duanes syndrome is a congenital eye movement disorder in which there is miswiring of the eye muscles that typically can be recognized through a few ocular signs and symptoms. Duanes retraction syndrome drs is a congenital anomaly of the sixth cranial nerve nuclei with aberrant innervation supplied from the third cranial nerve. The group includes duane syndrome, congenital fibrosis of the extraocular muscles cfeom, congenital ptosis, marcus gunn jaw winking, mobius syndrome, crocodile tears, horizontal gaze palsy and congenital facial palsy, but this is not an exhaustive list. Clinical analysis, management and outcome of duanes retraction. Duane retraction syndrome or just duane syndrome is an eye movement disorder.
In the primary position, the most common type of deviation is esotropy less than 30 ptd, it will manifest if the abduction limitation is. In about 80% of all cases of duane syndrome, only one eye is affected, most often the left eye. To make the eyes move, each muscle must receive an impulse from a. The patient was diagnosed as having duane syndrome at the age of 10 months and has been followed by a local ophthalmologist since then. Duane syndrome ds is present at birth and is characterized by limitation of horizontal eye movement a limited ability to move the eye inward toward the nose adduction, outward toward the ear abduction, or in both directions. No matter what youre looking for or where you are in the world, our global marketplace of sellers can help you find unique and affordable options. Duane syndrome is a congenital rare type of strabismus most commonly characterized by the inability of the eye to move outwards. Clinically, the syndrome varies, but the affected eye eyes. The majority of drs cases 70% are not associated with other anomalies. Kekunnaya r1, gupta a, sachdeva v, krishnaiah s, venkateshwar rao b, vashist u, ray d. Devices for penile retraction continence product advisor. In many cases, the management may necessitate treatment from a specialist or. In addition, during adduction, the eyeball pulls in and the eye opening palpebral fissure narrows. Duanes retraction syndrome associated with optic nerve.
Duane syndrome usually affects one eye only and is present from birth. Standard management of duane syndrome ds may involve surgery. Nov 26, 20 duanes syndrome is a congenital eye movement disorder in which there is miswiring of the eye muscles that typically can be recognized through a few ocular signs and symptoms. The purpose of this study is to create awareness about the face turns in type 1 duanes retraction syndrome drs. Hawaiis largest manufacturer of art phone and tablet cases. In a series of 441 cases of drs by kekunnaya et al, the mean age at presentation in unilateral types i, ii and iii, and bilateral drs was found to be. The purpose of this study is to create awareness about the face turns in type 1 duane s retraction syndrome drs.
Horizontal, vertical deviations, abnormal head position, globe retraction and upshoots. Face turns in type 1 duanes retraction syndrome right. Duane s retraction syndrome, a case series from iran. Jul 28, 2016 duane retraction syndrome is a unilateral or bilateral condition characterized by abnormal innervation to the extraocular muscles that results in limitation of eye movement and cocontraction of muscles that are normally antagonists duane, arch ophthalmol 34. To determine the demographic and clinical profile of various subtypes of duane retraction syndrome drs. However, up to 10% of cases of duane syndrome are familial, and may result from mutations in the chn1 gene. This prospective study undergone in more than four years, in alexandria, included 238 patients of drs, including type i, 162 patients 68%, type ii 12 patients. Open access case report duane retraction syndrome a. Aug 15, 2007 purpose to determine the relative prevalence of duanes retraction syndrome drs in a population of iranian strabismus cases and to describe the clinical features. Six cases of drs comprising of all sub types and their outcome was discussed simultaneously explaining how to plan surgical treatment for each component of drs in each case. Duane syndrome nord national organization for rare. Hypermetropia, accommodative and decompensatedpartially accommodative esotropia and esotropic duane s retraction syndrome in infants. Duane retraction syndrome is a congenital disorder of eye movement, characterized by an inability of the affected eye to move outwards abduction. Pick up some new sax iphone cases and choose your favourite design from a variety of covers.
These are a group of products for men who have a shortened or retracted penis, which is common in older men or those who have had treatment for prostate cancer. Duane syndrome genetic and rare diseases information center. Urban armor gear produces the most rugged, lightweight, cases that are drop tested to us military specs. Etsy is the home to thousands of handmade, vintage, and oneofakind products and gifts related to your search. In duane syndrome type 1, abduction is limited, but adduction is normal or close to normal. The syndrome was first described by ophthalmologists jakob stilling 1887 and siegmund turk 1896, and subsequently named after alexander duane, who discussed the disorder in more detail in 1905. Duane syndrome genetic and rare diseases information. Mar 26, 2012 in some cases, when the eye attempts to look inward, it moves upward or downward. Sometimes there is an inability to abduct the affected eye type 1, or adduct the affected eye type 2, or both type 3. Head posture is as shown below with head tilt to the left. Our series shows a positive family history in only two pedigrees, demonstrating the sporadic tendency of this syndrome. Sep 07, 2018 read medical definition of retraction syndrome. Inverse duane syndrome characterized by the retraction of globe on attempted abduction, reverse retraction.
Duane s retraction syndrome drs has been a recognized clinical entity for nearly a century. A reliable classic, this solid brass bumper protects your iphone 55s or iphone 6 with understated style and quality materials. Duane s retraction syndrome stillingtuerkduane syndrome is an unusual, though not uncommon, abnormality of ocular motility. Duane retraction syndrome is a congenital ocular motility disorder. Neuroimaging findings in duanes retraction syndrome drs, through magnetic resonance imaging mri, suggest that aplasia of the abducens nerve vi can be responsible for several forms of drs. Choose from hard or soft cases featuring superbright, highquality prints that wont fade.
Duanes retraction syndrome, a case series from iran. Ebscohost serves thousands of libraries with premium essays, articles and other content including duane retraction syndrome. Duane retraction syndrome in a patient with abnormal head position. Duane s retraction syndrome drs is a congenital anomaly of the sixth cranial nerve nuclei with aberrant innervation supplied from the third cranial nerve. The goal of surgery is the elimination or improvement of an unacceptable head turn, the elimination or reduction of significant misalignment of the eyes, the reduction of severe retraction, and the improvement of upshoots and downshoots. Our patient presented with features of bilateral, familial vertical retraction with narrowing of palpebral apertures on adduction suggesting a diagnosis of duane syndrome. Duanes retraction syndrome stillingtuerkduane syndrome is an unusual, though not uncommon, abnormality of ocular motility. In some cases, this might also be manifested an inability of the eye to move inwards towards the nose adduction. Notices of retraction should mention the reasons and basis for the retraction, to distinguish cases of misconduct from those of honest error. In some cases, when the eye attempts to look inward, it moves. Durs2 in a large 4generation mexican family with autosomal dominant duane retraction syndrome, appukuttan et al. A response from the authors of the article outcomes in patients with esotropic duane retraction syndrome and a partially accommodative component in a 2014 issue is presented. Duanes syndrome is a rare retraction anomaly characterized by an. Duane retraction syndrome is a unilateral or bilateral condition characterized by abnormal innervation to the extraocular muscles that results in limitation of eye movement and cocontraction of muscles that are normally antagonists duane, arch ophthalmol 34.
Retraction law in new york digital media law project. Duane retraction syndrome drs is a congenital eye movement anomaly characterized. To study the different treatment modalities needed in cases of duane s retraction syndrome drs. Theyre durable enough to prevent breakage, yet slim and lightweight. Shop through thousands of designs for the iphone 11, iphone 11 pro, iphone 11 pro max and all the previous models. Pdf duanes retraction syndrome, a case series from iran. Duane retraction syndrome drs is a congenital eye movement anomaly characterized by variable horizontal duction deficits, with.
Duane syndrome ds, or duane retraction or cocontraction syndrome drs, is a congenital restrictive strabismus that can occur either as an isolated entity or in conjunction with other congenital anomalies. When duanes retraction syndrome is familial, it appears to be transmitted. Bilateral familial vertical duane syndrome with synergistic. Defender series case for iphone xr defender case triple layer defense belt clip holster defender for iphone xr case screenless edition black 4. Haplotype analysis placed the affected gene in a 17.
Open access case report duane retraction syndrome a case report. As an optometrist, we should smartly recognized this syndrome according to the history taking and clinical findings in order to make an accurate diagnosis. To make the eyes move, each muscle must receive an impulse from a nerve in the eye. Retraction syndrome definition of retraction syndrome by. In 2 large series, the incidence of amblyopia in patients with duane. Duane retraction syndrome drs is a special strabismus with variable presentation.
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