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Stilling -Turk - Duane syndrome

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • Duane's retraction syndrome (DRS) (also known as Stilling-Turk-Duane syndrome)
    • prevalence of about 0.1% of the general population
    • accounts for 1% to 5% of all strabismus cases
    • DRS is a congenital oculomotor anomaly
      • characterized by the pathognomonic ocular motility pattern of globe retraction with simultaneous narrowing of the palpebral fissure on attempted adduction
      • most cases of DRS occur sporadically
        • incidence of genetic inheritance has been approximated to fall within a range between 5% and 23 %
      • syndrome includes variants permitting an abduction deficiency, adduction deficiency, or a combination of the two
      • often there is an associated 'tether' phenomenon consisting of over elevation, over depression, or both during adduction
      • globe retraction on adduction occurs secondary to aberrant innervation
        • results in cocontraction of the medial and lateral recti in the affected eye

Reference:

  • (1) DeRespinis PA et al. Duane's retraction syndrome. Surv Ophthalmol 1993;38 (3):257-28.

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