TAILIEUCHUNG - Báo cáo y học: "Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall in exotropic Duane syndrome: a case report "

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall in exotropic Duane syndrome: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall in exotropic Duane syndrome a case report Dima Andalib and Alireza Javadzadeh Address Department of Ophthalmology Nikookari Eye Hospital Tabriz University of Medical Sciences Tabriz Iran Email Dima Andalib - dima1366@ Alireza Javadzadeh - javadzadehalireza@ Corresponding author Published 28 July 2008 Received 12 January 2008 Journal of Medical Case Reports 2008 2 253 doi 1752-1947-2-253 Accepted 28 July 2008 This article is available from http content 2 1 253 2008 Andalib and Javadzadeh licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction The surgical correction of anomalous movement such as upshoot in Duane syndrome is challenging. Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall is a new approach used to minimize or eliminate the effects of co-contraction including globe retraction palpebral fissure narrowing and anomalous vertical movement. Case presentation We report a case of a 7-year-old boy who underwent this procedure for severe upshoot globe retraction and exotropia in the left eye due to Duane syndrome. The patient achieved satisfactory ocular alignment following surgery. Upshoot and globe retraction were substantially improved. Conclusion Lateral rectus muscle disinsertion and reattachment to the lateral orbital wall is a safe and effective procedure for weakening of the anomalous lateral rectus muscle in Exotropic Duane Syndrome. Introduction Duane syndrome is an ocular motility disorder characterized by anomalous innervation of the lateral rectus muscle 1 . .

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