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Journals / Türk Oftalmoloji Dergisi / 2011 / Cilt: 41 - Sayı: 3

Results of Surgery in Patients with type 1 Duane’s Retraction Syndrome

Tip 1 Duane Retraksiyon Sendromlu Hastalarda Cerrahi Sonuçlar

Seren PEHLİVANOĞLU
Serpil AKARA
Ömer FARUK YILMAZ
Birsen GÖKYİĞİT
Pages
156–163
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Y-split surgery has an important place in eliminating globe retraction and up/down shoot. (Turk J Ophthalmol 2011; 41: 156-63)

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: To assess the results of surgery techniques used in Duane’s retraction syndrome (DRS) type 1.
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Key Findings & Data:Material and Method: 194 DRS cases followed in the department of strabismus were retrospectively investigated.
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Conclusion & Impact:Y-split surgery has an important place in eliminating globe retraction and up/down shoot. (Turk J Ophthalmol 2011; 41: 156-63)
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Abstract

Purpose: To assess the results of surgery techniques used in Duane’s retraction syndrome (DRS) type 1. Material and Method: 194 DRS cases followed in the department of strabismus were retrospectively investigated. We assessed 58 cases operated for esotropic DRS type 1 in terms of pre- and post-operative deviations in primary position, abnormal head posture (AHP), abduction deficiency, globe retraction, and up-down shoot. The cases were divided into 3 groups according to the surgical technique applied. The mean follow-up period was 22.4±4.6 (1-13 years) months. Results: The cases in group 1 had undergone uni- or bilateral medial rectus (MR) recession, and the postoperative 1stmonth improvement rates for distance deviation, near deviation and AHP were 68.6%, 73.9% and 50%, respectively. These rates were 69.3%, 64.7% and 57.1%, respectively in group 2 which consisted of eyes that had undergone vertical rectus muscle transposition (VRT) surgery. In group 3, in which we had performed Y-split (with or without LR/MR recession) surgery, the improvement rates for distance and near deviation were 63.6% and 63.9%, and 50% was determined for AHP. The improvement in globe retraction was 60% in group 1 and 66.6% in group 3. Discussion: Medial rectus muscle recession was more effective for correction of deviation and AHP in cases of DRS type 1. VRT was found to be more effective surgical option in abduction deficiency. Y-split surgery has an important place in eliminating globe retraction and up/down shoot. (Turk J Ophthalmol 2011; 41: 156-63)

Özet

Amaç: Tip 1 Duane retraksiyon sendromu(DRS) olgularında uygulanan cerrahi tekniklerin sonuçlarını değerlendirmek. Gereç ve Yöntem: şaşılık bölümünde takip edilen 194 DRS’lu olgu retrospektif olarak incelendi. Cerrahi uygulanan ezotropik tip 1 DRS’lu 58 olgu; operasyon öncesi ve sonrası primer pozisyondaki kayma miktarı, anormal baş pozisyonu (ABP), abduksiyon kısıtlılığı, glob retraksiyonu ve aşşagı/yukarı atımları açısından değerlendirildi. Olgular uygulanan cerrahi tipine göre 3 gruba ayrıldı. Olguların ortalama takip süresi 22,4±4,6 ay (1-13 yıl) idi. Sonuçlar: Bir veya her iki MR’lara geriletme uygulanan grup1’de, postoperatif 1. ayda uzak kaymanın %68,6, yak›n kayman› n %73,9 ve ABP’nun %50 oranlar›nda düzeldi¤i, VRT cerrahisi uygulan grup 2 de; bu oranlar sırasıyla %69,3, %64,7 ve %57,1 olarak saptanmıştır. Y split (LR/MR geriletmesi ile beraber olan/olmayan) cerrahisi uygulanan grup 3’de ise uzak kayman› n %63,6, yak›n kaymanın %63,9 ve ABP’nun %50 oranında düzeldiği saptandı. Glob retraksiyonundaki düzelme grup1’de %60, grup3’te %66,6 olarak bulunmuştur. Tartışma: Tip 1 DRS’nda medial rektus kaslarının geriletilmesi, primer pozisyondaki kayma ve ABP’unun giderilmesinde etkilidir. VRT ise özellikle abduksiyon kısıtlılıgın giderilmesinde etkilidir. Y split cerrahisi, glob retraksiyonunun ve yukar›/aşşagı atımın düzeltilmesinde önemli etkiye sahiptir. (Turk J Ophthalmol 2011; 41: 156-63)

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Cite This Article

PEHLİVANOĞLU, S., AKARA, S., YILMAZ, Ö. F., GÖKYİĞİT, B. (2022). Results of Surgery in Patients with type 1 Duane’s Retraction Syndrome. Türk Oftalmoloji Dergisi, Cilt: 41 - Sayı: 3, 156–163. https://ajindex.com/articles/638374

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