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杜安眼球后退综合征老年患者临床特征更严重。

Greater severity of clinical features in older patients with Duane's retraction syndrome.

作者信息

Noonan C P, O'Connor M

机构信息

Royal Victoria Eye and Ear Hospital, Dublin, Ireland.

出版信息

Eye (Lond). 1995;9 ( Pt 4):472-5. doi: 10.1038/eye.1995.109.

DOI:10.1038/eye.1995.109
PMID:7498569
Abstract

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.

摘要

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。

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1
Greater severity of clinical features in older patients with Duane's retraction syndrome.杜安眼球后退综合征老年患者临床特征更严重。
Eye (Lond). 1995;9 ( Pt 4):472-5. doi: 10.1038/eye.1995.109.
2
Factors predicting upshoots and downshoots in Duane's retraction syndrome.
J Pediatr Ophthalmol Strabismus. 2003 May-Jun;40(3):147-51. doi: 10.3928/0191-3913-20030501-08.
3
Bilateral inverse Duane's retraction syndrome--a case report.双侧反向杜安眼球后退综合征——病例报告
Indian J Ophthalmol. 1991 Oct-Dec;39(4):183-5.
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Detailed magnetic resonance imaging findings of the ocular motor nerves in Duane's retraction syndrome.杜安眼球后退综合征中眼球运动神经的详细磁共振成像结果。
J Pediatr Ophthalmol Strabismus. 2009 Sep-Oct;46(5):278-85; quiz 286-7. doi: 10.3928/01913913-20090903-05. Epub 2009 Sep 22.
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[Clinical features of 31 cases with bilateral Duane's retraction syndrome].
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Duane's retraction syndrome.杜安眼球后退综合征
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Bilateral familial Duane's retraction syndrome.双侧家族性杜安眼球后退综合征
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[Clinical features of 201 cases with Duane's retraction syndrome].201例杜安眼球后退综合征的临床特征
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Dissociated vertical deviation in a patient with Duane's retraction syndrome.杜安眼球后退综合征患者的分离性垂直偏斜
J Clin Neuroophthalmol. 1990 Mar;10(1):38-40.
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Vertical rectus muscle transposition for correcting abduction deficiency in Duane's syndrome type 1 and sixth nerve palsy.垂直直肌移位术用于矫正1型杜安综合征和第六脑神经麻痹的外展功能不足。
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引用本文的文献

1
Duane-minus (Duane sine retraction and Duane sine limitation): possible incomplete forms of Duane retraction syndrome.杜安缺失(无退缩和无限制型杜安综合征):杜安退缩综合征的可能不完全形式。
Eye (Lond). 2021 Jun;35(6):1673-1679. doi: 10.1038/s41433-020-1118-3. Epub 2020 Aug 24.
2
Postoperative full abduction in a patient of Duane retraction syndrome without an abducens nerve: a case report.一例无外展神经的杜安眼球后退综合征患者术后完全外展:病例报告
BMC Ophthalmol. 2017 May 19;17(1):75. doi: 10.1186/s12886-017-0475-6.
3
Duane's retraction syndrome, a case series from Iran.
杜安眼球后退综合征:来自伊朗的病例系列
Int Ophthalmol. 2008 Aug;28(4):275-80. doi: 10.1007/s10792-007-9125-y. Epub 2007 Aug 15.
4
Usefulness of MR imaging in children without characteristic clinical findings of Duane's retraction syndrome.磁共振成像在无杜安眼球后退综合征特征性临床表现儿童中的应用价值
AJNR Am J Neuroradiol. 2005 Apr;26(4):702-5.