title: Vertical rectus muscle transposition surgery for Duane's syndrome.
abstract: Thirteen patients with Duane's syndrome, Type I, underwent full vertical rectus muscle transposition. Prior to surgery, all patients had esotropia in the primary position and 11 patients had a face turn. Postoperatively, esotropia was improved in 77%. The face turn was improved in 100% and eliminated in 69%. Abduction ability was increased and binocular diplopia-free field size enlarged to a mean of 60 degrees. Seven patients (54%) with a mean preoperative deviation of 17 prism diopters required only vertical rectus muscle transposition to improve their face turn and strabismus. Six patients (46%) with a mean preoperative deviation of 30 delta required an additional medial rectus recession several months later. Two patients (15%) developed a vertical deviation following vertical rectus muscle transposition.
authors.affiliation: Jules Stein Eye Institute, Department of Ophthalmology, UCLA 90024.
authors.forename: A B
authors.initials: AB
authors.lastname: Molarte
authors.forename: A L
authors.initials: AL
authors.lastname: Rosenbaum
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004370:Duane Retraction Syndrome / Q000150:complications / Q000601:surgery*; D004948:Esotropia / Q000209:etiology; D006801:Humans; D007223:Infant; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D009886:Ophthalmoplegia / Q000601:surgery*; D011187:Posture; D015348:Vision, Binocular