scholarly journals Unilateral Duane Retraction Syndrome Associated with Unilateral Congenital Cataract

2020 ◽  
Author(s):  
Majid Farvardin ◽  
Alireza Bolkheir
Keyword(s):  
Congenital Cataract ◽  
Systemic Disease ◽  
Positive Family History ◽  
Duane Syndrome ◽  
Retraction Syndrome ◽  
History Of ◽  
Ocular Deviation ◽  
Duane Retraction Syndrome ◽  
The Subject ◽  
Congenital Cataract Surgery

Purpose: To report unilateral congenital cataract in a case of ipsilateral Duane retraction syndrome. Case Report: In this case, we present a six year old girl who was referred with ocular deviation. She had a history of congenital cataract surgery in the left eye at the age of two years. The subject had no associated systemic disease, developmental delay, or positive family history. She was finally diagnosed as having Duane retraction syndrome in the same eye. Conclusion: Duane retraction syndrome can be associated with congenital cataract due to the matching time of gestational development of the lens to that of ocular and nonocular anomalies associated with Duane syndrome. As both of these disorders are rare, coincidence of both in the same person and the same eye by chance is a very remote possibility.

scholarly journals Bilateral lateral rectus recession in exotropic Duane syndrome with downshoot

2016 ◽  
Vol 8 (1) ◽  
pp. 74-77 ◽  
Author(s):  
Chandra Maya Gurung ◽  
Suma Ganesh ◽  
Pawan Shrestha
Keyword(s):  
Lateral Rectus ◽  
Palpebral Fissure ◽  
Primary Position ◽  
Head Posture ◽  
Duane Syndrome ◽  
Retraction Syndrome ◽  
Abnormal Head ◽  
Ocular Deviation ◽  
Duane Retraction Syndrome

Objective: To report that maximum weakening of lateral rectus muscles can improve significant exotropia in primary position, abnormal head posture, retraction, narrowing of palpebral fissure and downshoot in exotropic duannes retraction syndrome. Case: A 12-year-old boy with exotropic Duane syndrome presented with downshoot and globe retraction in attempted adduction. Squint surgery was undertaken to correct the alignment and treat the secondary aberrant movements doing maximum weakening of the lateral rectus muscles by hang- back method. At 6 months follow up visit, there was improvement in abnormal head posture, reduction of ocular deviation with downshoot and stereoacuity. Conclusion: Supramaximal recession of lateral rectus muscles can correct exotropia with down shoot in a patient with Duane retraction syndrome. Nepal J Ophthalmol 2016; 8(15): 74-77

scholarly journals Strabismus in Generations and Among Siblings

2021 ◽  
Vol 20 (1) ◽  
pp. 65-69
Author(s):  
Sabina Shrestha ◽  
Chunu Shrestha ◽  
Aparajita Manoranjan ◽  
Sushan Man Shrestha
Keyword(s):  
Family History ◽  
Positive Family History ◽  
Intermittent Exotropia ◽  
Three Generations ◽  
Two Generations ◽  
History Of ◽  
Ocular Deviation ◽  
Accommodative Esotropia ◽  
Paediatric Ophthalmology ◽  
Congenital Esotropia

Introduction: Strabismus has been observed among family members in involved families. The study was conducted to document manifest strabismus running in generations and among siblings of strabismic patients. Methods: It was a hospital based prospective study conducted from May to November 2017. Strabismic patients with ocular deviation visiting Department of Paediatric Ophthalmology and strabismus were enrolled using specially designed proforma. Detailed ocular examinations were done and family history obtained regarding the presence of strabismus. Family tree was drawn for those with positive family history. Results: A total of 78 participants completed the study with 48.7% males. Family history of strabismus was present in 56.4%. Strabismus was present in two generations in 45.45%, in three generations in 18.2%, 1st and 3rd generation in 18.2%, 1st, 2nd and 4th generation in 4.5%  and among siblings only in 13.6%. Among those with positive family history, exotropia was present in 75% and esotropia in 25%. Among exotropes, manifest deviation was present in 47.7% and intermittent exotropia in 27.3%. Among esotropes, congenital esotropia was present in 9% and accommodative esotropia in 16%. First degree relatives were affected in 45.45% of strabismic patients among which 55% had manifest exotropia, 20% had intermittent exotropia, 15% had accommodative esotropia and 10% had congenital esotropia. Conclusions: Strabismus was found in different generations in 56.4% strabismic patients. Two generations were involved in 45.45%, three generations in 18.2%, 1st and 3rd generation in 18.2%, 1st, 2nd and 4th generation in 4.5% and siblings only in 13.6%. Genetic factors appear to be significant in strabismus in Nepalese population and it requires to be substantiated with further larger studies.

scholarly journals Goldenhar Syndrome in Association with Duane Syndrome

2012 ◽  
Vol 52 (185) ◽  
Author(s):  
U D Shrestha ◽  
S Adhikari
Keyword(s):  
Refractive Error ◽  
Branchial Arch ◽  
Goldenhar Syndrome ◽  
Ocular Motility ◽  
Interesting Part ◽  
Duane Syndrome ◽  
Retraction Syndrome ◽  
High Incidence ◽  
Eye Examination ◽  
Duane Retraction Syndrome

Goldenhar syndrome (GHS) is also known as Oculo-Auriculo-Vertebral (OAV) syndrome or Branchial arch syndrome. Duane retraction syndrome (DRS) is a congenital disorder of ocular motility characterized by limited abduction, adduction or both. It is unilateral in 80% of cases. The important and interesting part of this eight months old child is presence of GHS with DRS. She has bilateral invol-vement, which is seen in only 5-8% of GHS, as compared to high incidence of unilateral involve-ment. This child also had refractive error of + 6.00/ - 1.5 * 180. At four year of age her vision with glass was 6/9. Children with GHS and DRS should have early eye examination done to treat the problem of refractive error. Keywords: Duane retraction syndrome; goldenhar syndrome, refractive error.

scholarly journals Lens-Induced Uveitis Triggered by Intravitreal Injection 40 Years after Primary Congenital Cataract Surgery with Aphakia

2020 ◽  
Vol 11 (2) ◽  
pp. 293-298 ◽  
Author(s):  
Sophia El Hamichi ◽  
Rafael J. Aguilar ◽  
Veronica Kon Graversen ◽  
Aaron S. Gold ◽  
Audina M. Berrocal ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Macular Edema ◽  
Intravitreal Injection ◽  
Congenital Cataract ◽  
Diabetes Mellitus Type 1 ◽  
Surgical Removal ◽  
Primary Vitrectomy ◽  
History Of ◽  
Bilateral Congenital Cataract ◽  
Congenital Cataract Surgery

We report a case of a 42-year-old male with a history of bilateral congenital cataract surgery performed at 2 years of age. The patient was left with aphakia, secondary glaucoma, and a history of diabetic macular edema in the setting of diabetes mellitus type 1. The right eye became prephthisical from his congenital surgical repair, and his left eye presented with an acute pseudo-endophthalmitis developing after the seventh intravitreal injection to treat the macular edema. The eye then presented with decrease in vision, periocular injection, and a diffuse inflammatory reaction focused around the anterior residual lens capsule. The patient underwent surgical removal of the residual capsule and primary vitrectomy repair of the eye, achieving a significant improvement in visual symptoms and recovery of visual and anatomic function.

scholarly journals Oral Manifestation in a Patient with Bilateral Duane Syndrome: A Case Report

2019 ◽  
pp. 1-3
Author(s):  
Edoardo Sicurezza ◽  
Edoardo Sicurezza ◽  
G. Palazzo ◽  
T. Mattina ◽  
V. Nicotra
Keyword(s):  
Case Report ◽  
Class Iii ◽  
Skeletal Class ◽  
Oral Manifestation ◽  
Craniofacial Structure ◽  
Duane Syndrome ◽  
Retraction Syndrome ◽  
Mandibular Molar ◽  
Duane Retraction Syndrome ◽  
Mandibular Protrusion

Duane syndrome is a rare retraction anomaly characterized by congenital non-progressive horizontal ophthalmoplegia and other systemic signs. No data has been yet registered about oral manifestation of Duane syndrome. In this article we present a six years old male patient was diagnosed as having Duane retraction syndrome. He presented skeletal Class III with both maxillary and mandibular protrusion, counter clock-wise mandibular rotation, lingualized maxillary and mandibular incisors, first mandibular molar agenesis, asymmetric morphology of the mandibular condyles and multiple decay lesions. Posteroanterior x-ray showed an asymmetrical craniofacial structure. The aim of this case report was to describe the oral signs of a patient affected by DRS.

scholarly journals Chakras’ and energies deficiencies in the geneses of breast cancer

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Huang Wei Ling
Keyword(s):  
Breast Cancer ◽  
Past History ◽  
Systemic Disease ◽  
Fluid Retention ◽  
The Body ◽  
Spleen Deficiency ◽  
Common Cancer ◽  
History Of ◽  
Five Elements ◽  
The Subject

Introduction: Breast cancer is the most common cancer-affecting women worldwide. Western current perspectives are starting to comprehend cancer as a systemic disease from the start. In TCM, the formation of cancer is associated energy deficiencies with Heat retention. Spleen deficiency is one of the major causes of formation of Phlegm leading to the formation of tumors. There are studies associating the five elements in TCM with chakras’ energy centers and measuring the chakra, the author will be measuring the internal massive organs energy. Purpose: To demonstrate that there is chakras’ energy deficiencies chronically present in the body of the patient with breast cancer. Also, to analyze the importance of treating the subject systemically, through the replenishment of chakras’ energy centers. Methods: two cases report, both were female patients (42 and 56years old), with the diagnosis stress and anxiety in the first and the second with diagnosis of sub retinal fluid retention, both patients with past history of breast cancer twenty and six years ago, removed with surgery. Chakras’ energy measurement through radiesthesia procedure was done. Results: all the chakras were in the lowest level of energy, rated in one out of eight. Conclusion: patients with history of breast cancer have chakras’ energy centers deficient in energy and the replenishment of these chakras is the major importance to prevent future formation of metastasis, new cancer in other sites or the formation of any chronic diseases.

The relationship of the scleractinian corals to the rugose corals

Paleobiology ◽  
1980 ◽  
Vol 6 (02) ◽  
pp. 146-160 ◽  
Author(s):  
William A. Oliver
Keyword(s):  
Critical Points ◽  
Scleractinian Corals ◽  
Convincing Evidence ◽  
Early Triassic ◽  
Rugose Corals ◽  
History Of ◽  
The Subject ◽  
Relationship Of ◽  
The Relationship ◽  
Biologic Factors

The Mesozoic-Cenozoic coral Order Scleractinia has been suggested to have originated or evolved (1) by direct descent from the Paleozoic Order Rugosa or (2) by the development of a skeleton in members of one of the anemone groups that probably have existed throughout Phanerozoic time. In spite of much work on the subject, advocates of the direct descent hypothesis have failed to find convincing evidence of this relationship. Critical points are:(1) Rugosan septal insertion is serial; Scleractinian insertion is cyclic; no intermediate stages have been demonstrated. Apparent intermediates are Scleractinia having bilateral cyclic insertion or teratological Rugosa.(2) There is convincing evidence that the skeletons of many Rugosa were calcitic and none are known to be or to have been aragonitic. In contrast, the skeletons of all living Scleractinia are aragonitic and there is evidence that fossil Scleractinia were aragonitic also. The mineralogic difference is almost certainly due to intrinsic biologic factors.(3) No early Triassic corals of either group are known. This fact is not compelling (by itself) but is important in connection with points 1 and 2, because, given direct descent, both changes took place during this only stage in the history of the two groups in which there are no known corals.

The Prevalence of Hereditary Antithrombin-III Deficiency in Patients with a History of Venous Thromboembolism

1985 ◽  
Vol 54 (04) ◽  
pp. 744-745 ◽  
Author(s):  
R Vikydal ◽  
C Korninger ◽  
P A Kyrle ◽  
H Niessner ◽  
I Pabinger ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Antithrombin Iii ◽  
Positive Family History ◽  
Normal Range ◽  
The Family ◽  
History Of ◽  
Antithrombin Iii Deficiency ◽  
Recurrent Venous Thrombosis ◽  
Antithrombin Iii Activity ◽  
Slight Deficiency

SummaryAntithrombin-III activity was determined in 752 patients with a history of venous thrombosis and/or pulmonary embolism. 54 patients (7.18%) had an antithrombin-III activity below the normal range. Among these were 13 patients (1.73%) with proven hereditary deficiency. 14 patients were judged to have probable hereditary antithrombin-III deficiency, because they had a positive family history, but antithrombin-III deficiency could not be verified in other members of the family. In the 27 remaining patients (most of them with only slight deficiency) hereditary antithrombin-III deficiency was unlikely. The prevalence of hereditary antithrombin-III deficiency was higher in patients with recurrent venous thrombosis.

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