title: Surgery on the normal eye in Duane retraction syndrome.
abstract: Duane retraction syndrome is a well-described congenital eye movement disorder whose management is still controversial. Various surgical strategies have been advocated, usually limited to the involved (restricted) eye to eliminate a face turn or a manifest deviation in the primary position. However, surgery on the normal eye has the potential to expand the field of single binocular vision as well as restore primary position alignment. In patients with mild-to-moderate duction deficiencies in the restricted eye, we have used very large recessions or posterior fixation sutures on the normal eye to create matching duction limitations, which in some cases produce a wider range of fusion postoperatively.
authors.affiliation: Storm Eye Institute, Medical University of South Carolina, Charleston 29425-2236.
authors.forename: R A
authors.initials: RA
authors.lastname: Saunders
authors.forename: M E
authors.initials: ME
authors.lastname: Wilson
authors.forename: E C
authors.initials: EC
authors.lastname: Bluestein
authors.forename: R B
authors.initials: RB
authors.lastname: Sinatra
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D004370:Duane Retraction Syndrome / Q000601:surgery*; D005133:Eye Movements; D005260:Female; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D013536:Suture Techniques; D015348:Vision, Binocular; D014794:Visual Fields