Korean J Ophthalmol.  2005 Jun;19(2):132-135. 10.3341/kjo.2005.19.2.132.

The Clinical Features of Korean Patients with Duane's Retraction Syndrome

• Park WH
• Son DH
• Yoon SW
• Baek SH
• Kong SM

• KMID: 754411
• DOI: http://doi.org/10.3341/kjo.2005.19.2.132

Abstract

PURPOSE
To describe the clinical features of Duane's retraction syndrome (DRS) in Korean patients. METHODS: We retrospectively analyzed the 78 DRS cases that presented to our department between 1995 and 2004. The clinical features investigated included sex distribution, laterality, type of presentation, deviation in primary position, anomalous vertical movements, face turn, amblyopia and anisometropia. RESULTS: There were 38 (48.7%) affected males and 40 (51.3%) females. Left eye predominance (83.3%) was observed, as was type I presentation (85.9%). Orthotropia was found to be the most common primary position in 46 cases (59.0%). Face turn in unilateral DRS was noted in 13 patients (17.1%). There were 6 cases (7.7%) with anisometropia and 4 (5.1%) with amblyopia. CONCLUSIONS: The clinical manifestations of DRS in our study were different from those of equivalent Caucasian studies yet similar to those previously reported for Asian groups. Racial and regional differences were noted, for which further research is needed to elaborate the reasons and mechanisms.

Keyword

Clinical features; Duane's retraction syndrome; Racial and regional differences

MeSH Terms

Adolescent
Adult
*Asian Continental Ancestry Group
Child
Child, Preschool
Duane Retraction Syndrome/*complications/ethnology/*physiopathology
Esotropia/*complications
Exotropia/*complications
Female
Humans
Male
Retrospective Studies

Reference

1. Huber A. Electrophysiology of the retraction syndrome. Br J Ophthalmol. 1974. 58:293–300.

2. Shin WB, Roh YB. Analysis of abnormal head posture and surgical results in the patients with Duane's retraction syndrome. J Korean Ophthalmol Soc. 1998. 39:393–399.

3. Lee KH, Chang BL. Clinical characteristics of Duane's retraction syndrome. J Korean Ophthalmol Soc. 1996. 37:1747–1752.

4. Isenberg S, Urist MJ. Clinical observations in 101 consecutive patients with Duane's retraction syndrome. Am J Ophthalmol. 1977. 84:419–425.

5. Kirkham TH. Duane's syndrome and familial perceptive deafness. Br J Ophthalmol. 1969. 53:335–339.

6. Maruo T, Kubota N, Arimoto H, Kikuchi R. Duane's syndrome. Jpn J Clin Ophthalmol. 1980. 34:845–854.

7. Mehel E, Quere MA, Lavenant F, Pechereau A. Aspects epidemiologiques et cliniques de syndrome de Stilling-Turk-Duane. J Fr Ophthalmol. 1996. 19:533–542.

8. Pfaffenbach DD, Cross HE, Kearns TP. Congenital anomalies in Duane's retraction syndrome. Arch Ophthalmol. 1972. 88:635–639.

9. Ro A, Gummeson B, Orton RB, Cadera W. Duane's retraction syndrome. Southwestern Ontario experience. Can J Ophthalmol. 1989. 24:200–203.

10. Riordan-Eva P, Vickers SF, McCarry B, Lee JP. Cyclic strabismus without binocular function. J Pediatr Ophthalmol Strabismus. 1993. 30:106–108.

11. Alexandrakis G, Saunders RA. Duane retraction syndrome. Ophthalmol Clin North Am. 2001. 14:407–417.

12. Duane A. Congenital deficiency of abduction associated with impairment of adduction, retraction movements, contraction of the palpebral fissure and oblique movements of the eye. Arch Ophthalmol. 1905. 34:133–159.

13. Kirkham TH. Inheritance of Duane's syndrome. Br J Ophthalmol. 1970. 54:323–329.

14. Raab EL. Clinical features of Duane's syndrome. J Pediatr Ophthalmol Strabismus. 1986. 23:64–68.

15. Zhang F. Clinical features of 201 cases with Duane's retraction syndrome. Chin Med J. 1997. 110:789–791.

16. DeRespinis PA, Caputo AR, Wagner RS, Guo S. Duane's retraction syndrome. Surv Ophthalmol. 1993. 38:257–288.