Goldstein J H, Sacks D B
J Pediatr Ophthalmol. 1977 Jan-Feb;14(1):12-7.
Two cases with bilateral Duane's Syndrome are presented. Both showed immediate large angle exotropia following bilateral medial rectus recession for esotropia. In both cases, the forced duction test was then found to be positive in adduction and negative after disinsertion of the lateral rectus. It is suggested that both the medial rectus muscles and lateral rectus muscles are tight in bilateral Duane's Syndrome and that seemingly simultaneous recession of the medial and lateral rectus muscles would be indicated.
本文报告两例双侧杜安综合征患者。两例患者均因内斜视行双侧内直肌后徙术后立即出现大角度外斜视。在这两例患者中，牵拉试验在内收时均为阳性，外直肌断腱后则为阴性。提示双侧杜安综合征患者的内直肌和外直肌均紧张，似乎应同时行内直肌和外直肌后徙术。
