Augmented superior rectus transposition procedure in Duane retraction syndrome compared with sixth nerve palsy

2018 ◽  
Vol 256 (5) ◽  
pp. 983-987 ◽  
Author(s):  
Mohammadreza Akbari ◽  
Setareh Shomali ◽  
Arash Mirmohammadsadeghi ◽  
Masoud Aghsaei Fard
Keyword(s):  
Nerve Palsy ◽  
Superior Rectus ◽  
Sixth Nerve Palsy ◽  
Retraction Syndrome ◽  
Duane Retraction Syndrome ◽  
Sixth Nerve

scholarly journals Augmented superior rectus muscle transposition in management of defective ocular abduction

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohamed F. Farid ◽  
Ahmed E. M. Daifalla ◽  
Mohamed A. Awwad
Keyword(s):  
Nerve Palsy ◽  
Rectus Muscle ◽  
Muscle Transposition ◽  
Primary Position ◽  
Superior Rectus ◽  
Sixth Nerve Palsy ◽  
Abnormal Head ◽  
Duane Retraction Syndrome ◽  
Sixth Nerve ◽  
Superior Rectus Muscle

Abstract Background Superior rectus muscle transposition (SRT) is one of the proposed transposition techniques in the management of defective ocular abduction secondary to chronic sixth nerve palsy and esotropic Duane retraction syndrome (Eso-DRS). The aim of the current study is to report the outcomes of augmented SRT in treatment of Eso-DRS and chronic sixth nerve palsy. Methods a retrospective review of medical records of patients with Eso-DRS and complete chronic sixth nerve palsy who were treated by augmented full tendon SRT combined with medial rectus recession (MRc) when intraoperative forced duction test yielded a significant contracture. Effect on primary position esotropia (ET), abnormal head posture (AHP), limitation of ocular ductions as well as complications were reported and analyzed. Results a total of 21 patients were identified: 10 patients with 6th nerve palsy and 11 patients with Eso-DRS. In both groups, SRT was combined with ipsilateral MRc in 18 cases. ET, AHP and limited abduction were improved by means of 33.8PD, 26.5°, and 2.6 units in 6th nerve palsy group and by 31.1PD, 28.6°, and 2 units in Eso-DRS group respectively. Surgical success which was defined as within 10 PD of horizontal orthotropia and within 4 PD of vertical orthotropia was achieved in 15 cases (71.4%). Significant induced hypertropia of more than 4 PD was reported in 3 patients (30%) and in 2 patients (18%) in both groups, respectively. Conclusion augmented SRT with or without MRc is an effective tool for management of ET, AHP and limited abduction secondary to sixth nerve palsy and Eso-DRS. However, this form of augmented superior rectus muscle transposition could result in high rates of induced vertical deviation.

Hummelsheim procedure combined with medial rectus recession in complete sixth nerve palsy and esotropic Duane Retraction Syndrome

2020 ◽  
pp. 112067212097361
Author(s):  
Abbas Bagheri ◽  
Amirreza Veisi ◽  
Mehdi Tavakoli
Keyword(s):  
Nerve Palsy ◽  
Botulinum Toxin Injection ◽  
Rectus Muscle ◽  
Strabismus Surgery ◽  
Medial Rectus ◽  
Prism Diopter ◽  
Sixth Nerve Palsy ◽  
Retraction Syndrome ◽  
Duane Retraction Syndrome ◽  
Sixth Nerve

Purpose: To evaluate the effect of half tendon vertical rectus muscle transposition (HVRT) combined with medial rectus muscle recession (MRrec) in complete sixth nerve palsy (CSNP) and esotropic Duane Retraction Syndrome (eDRS). Methods: A retrospective study of patients with unilateral CSNP or eDRS who underwent HVRT combined with medial rectus recession over the course of 18 years. The patients with previous strabismus surgery and follow up less than 3 months were excluded. Overcorrection was defined as any amount of exotropia, and undercorrection was defined as residual esotropia of ⩾10 prism diopter (PD). Results: A total of 39 patients were enrolled including 22 CSNP and 17 eDRS patients. Esotropia improved from 45.8 ± 22 and 22.5 ± 6.4 PD to 0.8 ± 2.5 and 0.3 ± 1 PD in CSNP group and eDRS group respectively. The angle of face turn improved from 34.3 ± 8.4° and 26.5 ± 9° to 0.6 ± 2.4° and 0.8 ± 1.6° in the CSNP group and eDRS group respectively. Abduction limitation improved from −4.5 ± 0.5 and −4 ± 0 units to −2.9 ± 0.5 and −2.7 ± 0.5 units in CSNP group and eDRS group respectively. No patient developed a new vertical deviation. An overcorrection occurred in one patient of the eDRS group who improved after botulinum toxin injection in the ipsilateral lateral rectus muscle. Undercorrection was seen in two patients. Conclusion: HVRT combined with MRrec is an effective procedure to improve esotropia, face turn, and abduction limitation in CSNP and eDRS.

Evaluation of augmented temporal superior rectus transposition combined with adjustable medial rectus recession in sixth nerve palsy and esotropic Duane syndrome type 1

2018 ◽  
Vol 22 (4) ◽  
pp. e47
Author(s):  
Adeel Suhail Sethi ◽  
Tobias Emil Torp-Pedersen ◽  
Claes Sepstrup Loenkvist ◽  
Bente Baun Iversen ◽  
Morten Dornonville De La Cour ◽  
...  
Keyword(s):  
Nerve Palsy ◽  
Medial Rectus ◽  
Syndrome Type ◽  
Superior Rectus ◽  
Sixth Nerve Palsy ◽  
Duane Syndrome ◽  
Sixth Nerve

scholarly journals Lateral Rectus Superior Compartment Palsy

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Sana Nadeem
Keyword(s):  
Nerve Palsy ◽  
Lateral Rectus ◽  
Superior Rectus ◽  
Cosmetic Appearance ◽  
Superior Part ◽  
Sixth Nerve Palsy ◽  
Sixth Nerve

 Lateral rectus palsy with hypotropia constitutes a portion of sixth nerve palsy cases in which only the superior compartment of the lateral rectus is palsied. We present such a case in a 10-year-old girl who presented with a peculiar appearing right esotropia and hypotropia due to acquired lateral rectus palsy along with apparent ipsilateral superior rectus underaction. Neuroimaging confirmed atrophy of the superior part of lateral rectus as compared to the inferior half. Augmented superior rectus transposition to the lateral rectus along with adjustable bimedial recessions and bilateral inferior oblique myectomies were done to restore her cosmetic appearance.

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