Complications of augmented superior rectus transposition in Duane syndrome

P Merino; P Gómez de Liaño; Y Ah Kim

doi:10.1016/j.oftal.2016.07.003

Complications of augmented superior rectus transposition in Duane syndrome

Arch Soc Esp Oftalmol. 2017 Apr;92(4):175-177. doi: 10.1016/j.oftal.2016.07.003. Epub 2016 Aug 16.

[Article in English, Spanish]

Authors

P Merino¹, P Gómez de Liaño², Y Ah Kim²

Affiliations

¹ Sección de Motilidad Ocular y Neuro-Oftalmología, Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: pilimerino@gmail.com.
² Sección de Motilidad Ocular y Neuro-Oftalmología, Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España.

PMID: 27542524
DOI: 10.1016/j.oftal.2016.07.003

Abstract

Clinical case: A patient diagnosed with Duane syndrome underwent an augmented superior rectus transposition (SRT) to lateral rectus (LR) and medial rectus (MR) recession. Vertical, torsional deviation and diplopia were observed post-operatively. Removal of the Foster suture and superior rectus recession resolved the symptoms.

Discussion: SRT to LR is proposed in Duane syndrome with a favorable outcome. The benefit of SRT is open to debate. It could be an alternative for the vertical rectus transposition when MR recession has to be operated on in the same procedure, or in the immediate post-operative period, in order to decrease the risk of anterior segment ischaemia.

Keywords: Anterior segment ischaemia; Augmented superior rectus transposition; Duane syndrome; Inciclotorsión; Incyclotorsion; Isquemia de segmento anterior; Medial rectus recession; Recesión del recto medio; Síndrome de Duane; Transposición aumentada de recto superior.

Publication types

Case Reports

MeSH terms

Aged
Duane Retraction Syndrome / surgery*
Humans
Male
Oculomotor Muscles / surgery*
Ophthalmologic Surgical Procedures / methods
Postoperative Complications / etiology*