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A Case of Pseudo-Duane's Retraction Syndrome With Old Medial Orbital Wall Fracture
Korean Journal of Ophthalmology ; : 329-331, 2009.
Article in English | WPRIM | ID: wpr-64095
ABSTRACT
We report a case of pseudo-Duane's retraction syndrome with entrapment of the medial rectus muscle in an old medial orbital wall fracture presenting identical clinical symptoms as Duane's retraction syndrome. A 15-year-old boy presented with persistent limited right eye movement since a young age. Examination showed marked limited abduction, mildly limited adduction, and globe retraction accompanied by narrowing of the palpebral fissure during attempted adduction in the right eye. He showed a right esotropia of 16 prism diopters and his head turned slightly to the right. A slight enophthalmos was noted in his right eye. A computed tomography scan demonstrated entrapment of the medial rectus muscle and surrounding tissues in an old medial orbital wall fracture. A forced duction test revealed a marked restriction of abduction in the right eye. A 5 mm recession of the right medial rectus muscle was performed. Postoperatively, the patient's head turn and esotropia in the primary position were successfully corrected, but there was still some limitations to his ocular movement. The importance of several tests such as the forced duction test and an imaging study should be emphasized in making a diagnosis for limitation of eye movement.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Orbital Fractures / Ophthalmologic Surgical Procedures / Tomography, X-Ray Computed / Duane Retraction Syndrome / Follow-Up Studies / Diagnosis, Differential / Eye Movements / Oculomotor Muscles Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Humans / Male Language: English Journal: Korean Journal of Ophthalmology Year: 2009 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Orbital Fractures / Ophthalmologic Surgical Procedures / Tomography, X-Ray Computed / Duane Retraction Syndrome / Follow-Up Studies / Diagnosis, Differential / Eye Movements / Oculomotor Muscles Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Humans / Male Language: English Journal: Korean Journal of Ophthalmology Year: 2009 Type: Article