Beruflich Dokumente
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Violent Violation of
Sherringtons Law
Definition
Disturbance of ocular movement
characterized by simultaneous
contraction of the medial and lateral
rectus muscles in adduction
History
1879 - Heuck describes a case of retraction in adduction
1887 - Stilling
1895 - Sinclair
1896 - Bahr
1899 - Turk
1900 Wolf
1905 - Duane presents 54 collected cases
Duane's known as Stilling-Turk-Duane Syndrome in
Europe
Prevalence
Diagnostic Features
Reduced abduction
Retraction of the globe on adduction
Co-contraction of the lateral and
medial recti on adduction
Associated Features
Diferential Diagnosis
Duanes-Associated Syndromes
33% of All Duanes
Etiology
Neuroanatomy
Embryology
Type I Duanes
Duanes Retraction
Syndrome
+
LR Adduction
MR- Abduction
LR Abduction
Type II Duanes
+
LR Adduction
MR- Abduction
LR Abduction
+
LR Adduction
MR- Abduction
+
LR Abduction
Secondary Efects of
Duanes
V, Y and X patterns
Face turn
Treatment of Duanes
Treatment modalities
Surgery-Type I
Recession
MEDIAL RECTUS
Transposition
Fadenoperation on Contralateral
medial rectus and lateral rectus
Bilateral Duanes
Danger of consecutive XT
M.R
FIN