Puerto-Hernández B, López-Caballero C, Rodríguez-Sánchez J M, González-Manrique M, Contreras I
Departamento de Estrabismo, Servicio de Oftalmología, Hospital Ramón y Cajal, Madrid, España.
Arch Soc Esp Oftalmol. 2008 Feb;83(2):113-6. doi: 10.4321/s0365-66912008000200009.
Different surgical approaches have been described for the treatment of Duane's syndrome. The purpose of our study is to report the results of patients undergoing recession of the medial rectus (MR) muscle of the affected eye and placement of contralateral MR faden posterior fixation sutures.
Retrospective study of 11 patients treated by a 4-7 mm recession of the MR of the affected eye and 13 mm faden posterior fixation suture of the contralateral MR in order to correct abnormal head position and esotropia in primary position.
After surgery, there was no torticolis in 81.8% of patients, with less than 10 degrees of torticolis in the remainder. In all patients, postoperative esotropia was less than 5 prismatic dioptres.
This is a safe and effective procedure in Duane's syndrome type I to treat moderate esotropia and torticolis.
已描述了用于治疗杜安综合征的不同手术方法。我们研究的目的是报告患眼内直肌（MR）后徙及对侧MR缝线后固定术患者的治疗结果。
对11例患者进行回顾性研究，这些患者接受了患眼MR 4 - 7mm的后徙及对侧MR 13mm的缝线后固定术，以矫正原在位的异常头位和内斜视。
术后，81.8%的患者无斜颈，其余患者斜颈小于10度。所有患者术后内斜视均小于5棱镜度。
对于I型杜安综合征，该手术是治疗中度内斜视和斜颈的一种安全有效的方法。
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