Long-term surgical outcomes of esotropic duane retraction syndrome type 1
Abstract Duane retraction syndrome (DRS) is complicated to treat due to its wide spectrum of clinical presentations and the treatment of choice varies among surgeons. To provide insight into this challenging condition, we evaluated the long-term surgical outcomes of esotropic DRS type 1. The surgica...
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Nature Portfolio
2025-01-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-78738-z |
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| author | Jihae Park Hee Kyung Yang Jeong-Min Hwang |
| author_facet | Jihae Park Hee Kyung Yang Jeong-Min Hwang |
| author_sort | Jihae Park |
| collection | DOAJ |
| description | Abstract Duane retraction syndrome (DRS) is complicated to treat due to its wide spectrum of clinical presentations and the treatment of choice varies among surgeons. To provide insight into this challenging condition, we evaluated the long-term surgical outcomes of esotropic DRS type 1. The surgical motor success, defined as a horizontal deviation of 8 prism diopters (PD) or less, was found in 77.3% of patients after an average follow-up of 5.6 ± 3.4 years. After surgery, a gradual shift towards exotropia was observed at an average rate of 1.3 ± 3.7 PD exodrift per year. In this study, the long-term surgical outcomes were generally favorable in esotropic DRS type 1. However, due to the nature of exodrift over time following medial rectus recession, it is crucial to educate the patient about the potential long-term overcorrection, and to carefully calculate the appropriate surgical dosage. |
| format | Article |
| id | doaj-art-3e069f2cabdb4ceca117694cd8836f72 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-3e069f2cabdb4ceca117694cd8836f722025-02-02T12:18:29ZengNature PortfolioScientific Reports2045-23222025-01-011511610.1038/s41598-024-78738-zLong-term surgical outcomes of esotropic duane retraction syndrome type 1Jihae Park0Hee Kyung Yang1Jeong-Min Hwang2Department of Ophthalmology, Daegu Fatima HospitalDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang HospitalDepartment of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang HospitalAbstract Duane retraction syndrome (DRS) is complicated to treat due to its wide spectrum of clinical presentations and the treatment of choice varies among surgeons. To provide insight into this challenging condition, we evaluated the long-term surgical outcomes of esotropic DRS type 1. The surgical motor success, defined as a horizontal deviation of 8 prism diopters (PD) or less, was found in 77.3% of patients after an average follow-up of 5.6 ± 3.4 years. After surgery, a gradual shift towards exotropia was observed at an average rate of 1.3 ± 3.7 PD exodrift per year. In this study, the long-term surgical outcomes were generally favorable in esotropic DRS type 1. However, due to the nature of exodrift over time following medial rectus recession, it is crucial to educate the patient about the potential long-term overcorrection, and to carefully calculate the appropriate surgical dosage.https://doi.org/10.1038/s41598-024-78738-zDuane retraction syndromeEsotropiaSurgical outcomeDRS type 1 |
| spellingShingle | Jihae Park Hee Kyung Yang Jeong-Min Hwang Long-term surgical outcomes of esotropic duane retraction syndrome type 1 Scientific Reports Duane retraction syndrome Esotropia Surgical outcome DRS type 1 |
| title | Long-term surgical outcomes of esotropic duane retraction syndrome type 1 |
| title_full | Long-term surgical outcomes of esotropic duane retraction syndrome type 1 |
| title_fullStr | Long-term surgical outcomes of esotropic duane retraction syndrome type 1 |
| title_full_unstemmed | Long-term surgical outcomes of esotropic duane retraction syndrome type 1 |
| title_short | Long-term surgical outcomes of esotropic duane retraction syndrome type 1 |
| title_sort | long term surgical outcomes of esotropic duane retraction syndrome type 1 |
| topic | Duane retraction syndrome Esotropia Surgical outcome DRS type 1 |
| url | https://doi.org/10.1038/s41598-024-78738-z |
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