Dr. RISHIKESH MAYEE

Abstract

Previous studies have mentioned superior rectus transposition (SRT) with augmentation (posterior fixation suture or loop myopexy with lateral rectus) with medial rectus recession (MRc) to correct esotropic Duane’s syndrome. Present study was aimed at evaluating the effectiveness of SRT (without augmentation) with MRc for treatment of these cases. Prospective study of esotropic Duane’s syndrome over 3 years who underwent SRT (without augmentation) with MRc and followup more than 3 months. Success was defined as ocular alignment < 8prism diopters, face turn < 5 deg, abduction improvement by >1 unit.Mean pre-op esotropia was 20 prism diopters, face turn was 10 deg and abduction limitation of -3.5 units. At 3 months followup post-op, the mean esotropia was 5 prism diopters in 5 cases, mean face turn was <2 deg and abduction limitation was -2.2 units. To conclude combined MRc and SRT (without augmentation) improve head posture and abduction limitation in esotropic Duane’s syndrome.[advanced_iframe src="https://view.officeapps.live.com/op/embed.aspx?src=https://aiosproceedings.s3.ap-southeast-1.amazonaws.com/2021/E-Poster/FP425.pptx" width="100%" height="608"]