Abstract
In the cases of vertical retraction syndromes previously reported in the literature, the “leash effect” ofvertical recti was responsible for a limitation of motility and for retraction in up- or down-gaze. This vertical retraction syndrome mimics Duane's syndrome and benefits from recession of the taut vertical recti. In the case reported, another mechanism had led to vertical retraction syndrome. In a bilateral horizontal Duane's syndrome, the physiological co-contraction of abnormally shorthorizontal recti in vertical gaze was responsible for vertical retraction syndrome and even for a positive vertical forced duction test. The vertical motility was returned to normal by recession of the four horizontal recti.
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References
Breinin GM (1957) Electromyography. Arch Ophthalmol 57: 165–175
Brown HW (1958) Congenital structural anomalies of the muscles. In: Allen JH (ed) Strabismus. Ophthalmic Symposium, II. Mosby, St Louis, pp 391–427
Campos EC (1988) Classification et physiopathologie du torticolis. Aspect sensoriel. Symposium “Torticolis d'origine oculaire”, Brusseles, 1987. Bull Soc Beige Ophtalmol (in press)
Deller M (1976) L'Opération du fil. Bull Mem Soc Fr Ophthalmol 88: 167–172
Helveston EM (1985) Atlas of strabismus surgery, 3rd edn. Mosby, St Louis
Huber A (1983) Duane's retraction syndrome: considerations on pathophysiology and aetiology. In: Ravault AP (ed) Transactions of the 5th International Orthoptic Congress, Cannes, 1983. Lips, Lyons, pp 119–126
Jampolski A (1983) Unusual eye movements in alert humans with attached and detached eye muscles. In: Ravauld AP (ed) Transactions of the 5th International Orthoptic Congress, Cannes, 1983. Lips, Lyons, pp 245–250
Khodadoust AA, Noorden GK von (1967) Bilateral vertical retraction syndrome. Arch Ophthalmol 78: 606–670
Miller NR, Hotchkiss MG, Clark AW, Green WR (1980) Bilateral Duane's retraction syndrome. A clinical pathologic case report. Arch Ophthalmol 98: 870–874
Noorden GK von (1985) Burian- von Noorden's binocular vision and ocular motility. Mosby, St Louis, pp 304–318
Scott AB (1977) The Fadenoperation. Am Orthopt J 27: 44–47
Spielmann A (1976) Le syndrome de rétraction de Stilling-Türk-Duane. Etiopathogénie clinique. Régulation motrice par la Fadenopération de Cüppers sur l'oeil sain, associée ou non à la chirurgie de l'oeil atteint. J Fr Orthopt 8: 105–123
Spielmann A (1980) Pathologie cicatricielle et Fadenopération. Bull Soc Ophtalmol Fr 8–9: 655–662
Spielmann A (1984) Surgery in mono- and bilateral Duane's syndrome. In: Gregersen E (ed) Transactions of the 14th Meeting of the European Strabismological Association, Copenhague. Jencodan Tryk, Kobenhavn, pp 71–76
Souza-Dias C (1976) Additional consequences of muscle co-contraction in Duane's syndrome. In: Souza-Dias C (ed) Smith-Kettlewell Symposium on Basic Sciences in Strabismus (Annex to the V Congress of the CLADE), Guaruja. Oficinas das Ediçoes Lojola, Sao Paulo pp 93–101
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Dedicated to Dr. G.K. von Noorden on the occasion of his 60th birthday
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Spielmann, A. Bilateral vertical retraction syndrome in horizontal bilateral Duane's syndrome. Graefe's Arch Clin Exp Ophthalmol 226, 425–427 (1988). https://doi.org/10.1007/BF02170001
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DOI: https://doi.org/10.1007/BF02170001