Management of Duane retraction syndrome with prismatic glasses

Ebru Demet Aygit,¹ Murat Kocamaz,¹ Asli Inal,¹ Korhan Fazil,¹ Osman Bulut Ocak,¹ Serpil Akar,² Birsen Gokyigit<sup>1

1</sup>Strabismus Department, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey; ²Ophthalmology Department, Medicine Faculty, Baskent University, Istanbul, Turkey

Purpose: To report the results of using prismatic glasses for Duane retraction syndrome (DRS).
Methods: Data were obtained from the records of patients who were evaluated during the year 2000 in the Strabismus Unit of the Beyoglu Eye Training and Research Hospital. The average follow-up was 12.2±17.7 months. In all cases, 2 main variables were evaluated: horizontal deviation in the primary position and face turn. Prismatic glasses were provided to patients according to the degree of shift in the primary position.
Results: The mean age of patients was 11.2 years. An analysis was performed on the data collected from 12 cases; 7 patients were females (58.3%) and 5 were males (41.7%), with 11 (91.7%) cases being of type I DRS. All 12 patients had abnormal head posture (face turn) and an angle of mean deviation equaling 10 PD (prism dioptri).
Conclusion: Treatment was individualized on a case-by-case basis. Prismatic glasses are useful for eliminating abnormal head posture and ocular misalignment in selected cases.

Keywords: Duane, prismatic glasses, abnormal head posture

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