Noonan C P, O'Connor M
Royal Victoria Eye and Ear Hospital, Dublin, Ireland.
Eye (Lond). 1995;9 ( Pt 4):472-5. doi: 10.1038/eye.1995.109.
Duane's retraction syndrome (DRS) is a well-described entity. However, the possibility of this condition having progressive features has not been previously documented. We studied 21 consecutive patients with this disorder and found that the incidence of severe retraction on adduction, the occurrence of enophthalmos in the primary position and the presence of upshoots and downshoots were significantly higher in adults with type I DRS than in children. Awareness that the clinical features may increase in severity is important as parental counselling, coupled with effective communication to general practitioners, can prompt re-referral should such problems arise. Surgical intervention as a consequence, becomes an available option to correct disease progression.
杜安眼球后退综合征(DRS)是一种已被充分描述的病症。然而,此前尚无关于这种病症具有进行性特征的可能性的记录。我们对21例连续的该疾病患者进行了研究,发现I型DRS成年患者内收时严重眼球后退、原在位眼球内陷以及眼球上转和下转的发生率显著高于儿童。认识到临床特征可能会加重很重要,因为对家长的咨询,再加上与全科医生的有效沟通,可在出现此类问题时促使再次转诊。因此,手术干预成为纠正疾病进展的一个可行选择。