Dr.ARCHANA BHUVANENDRAN

Dr. ANURADHA ALAGUSUNDARAM, Dr.R. R. MALARVIZHI

Abstract

20 year old male reported with deviation in RE since birth and head tilt towards right side.RE abduction restriction(-3),mild adduction restriction(-2) and mild narrowing of palpebral fissure on adduction present.LE EOM full.Orthoptics examination showed RE exotropia 50 PD.WFDT – No BSV.His vision,anterior segment was normal.FDT positive for abduction,negative for adduction.MRI Brain -Normal,no evidence of paralytic causes.Patient didn’t have pre-auricular skin tags,limbal dermoids,Sensorineural hearing loss,vertebral anomalies.Systemic examination -Normal.He was diagnosed to be Type 3 Duanes Retraction Syndrome.As patient had deviation in primary gaze with minimum globe retraction and compensatory head tilt with no overshoot or downshoot,patient underwent RE LR Recession(9 mm).After surgery patient was orthophoric and compensatory head tilt also reduced.