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Duane syndrome

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185:. This misdirection of nerve fibres results in opposing muscles being innervated by the same nerve. Thus, on attempted abduction, stimulation of the lateral rectus via the oculomotor nerve will be accompanied by stimulation of the opposing medial rectus via the same nerve; a muscle which works to adduct the eye. Thus, co-contraction of the muscles takes place, limiting the amount of movement achievable and also resulting in retraction of the eye into the socket. They also noticed mechanical factors and considered them secondary to loss of innervation: During corrective surgery fibrous attachments have been found connecting the horizontal recti and the orbital walls and fibrosis of the lateral rectus has been confirmed by biopsy. This fibrosis can result in the lateral rectus being 'tight' and acting as a tether or leash. Co-contraction of the medial and lateral recti allows the globe to slip up or down under the tight lateral rectus producing the up and down shoots characteristic of the condition. 70: 257:
changes or head postures, when attempting to determine whether what often presents as a common childhood squint (note-"squint" is a British term for two eyes not looking in the same direction) is in fact Duane syndrome. Fissure changes, and the other associated characteristics of Duane's such as up or down shoots and globe retraction, are also vital when deciding whether any abduction limitation is the result of Duane's and not a consequence of VI or abducens cranial nerve palsy.
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they are forced to adopt a cosmetically unsightly or uncomfortable head posture in order to maintain binocularity. The aims of surgery are to place the eye in a more central position and, thus, place the field of binocularity more centrally also, and to overcome or reduce the need for the adoption of an abnormal head posture. Occasionally, surgery is not needed during childhood, but becomes appropriate later in life, as head position changes (presumably due to progressive muscle
177:, causing some eye muscles to contract when they shouldn't and other eye muscles not to contract when they should. Alexandrakis and Saunders found that in most cases the abducens nucleus and nerve are absent or hypoplastic, and the lateral rectus muscle is innervated by a branch of the oculomotor nerve. This view is supported by the earlier work of Hotchkiss et al. who reported on the autopsy findings of two patients with Duane's syndrome. In both cases the 42: 110: 279:
cannot be replaced, and traditionally there has been no expectation that surgery will result in any increase in the range of eye movement. Surgical intervention, therefore, has only been recommended where the patient is unable to maintain binocularity, where they are experiencing symptoms, or where
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Most patients are diagnosed by the age of 10 years and Duane's is more common in girls (60 percent of the cases) than boys (40 percent of the cases). A French study reports that this syndrome accounts for 1.9% of the population of strabismic patients, 53.5% of patients are female, is unilateral in
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Lateral transposition of the vertical muscles described by Rosenbaum has been shown to improve range of movement of the eye. The surgical procedure produces 40-65 degrees of binocular field. Orbital wall fixation of the lateral rectus muscle (muscle is disinserted and reattached to lateral orbital
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In the clinical setting, the principal difficulties in differential diagnosis arise as a consequence of the very early age at which patients with this condition first present. The clinician must be persistent in examining abduction and adduction, and in looking for any associated palpebral fissure
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Widening of the palpebral fissure on attempted abduction. (N. B. Mein and Trimble point out that this is "probably of no significance" as the phenomenon also occurs in other conditions in which abduction is
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Zankl A, Duncan EL, Leo PJ, Clark GR, Glazov EA, Addor MC, Herlin T, Kim CA, Leheup BP, McGill J, McTaggart S, Mittas S, Mitchell AL, Mortier GR, Robertson SP, Schroeder M, Terhal P, Brown MA (March 2012).
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Morad et al. showed improved abduction after modest unilateral medial rectus recession and lateral rectus resection in a subgroup of patients with mild eye retraction and good adduction before surgery.
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Duane A (1996). "Congenital deficiency of abduction, associated with impairment of adduction, retraction movements, contraction of the palpebral fissure and oblique movements of the eye. 1905".
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Duane A (1905). "Congenital Deficiency of Abduction associated with impairment of adduction, retraction movements, contraction of the palpebral fissure and oblique movements of the eye".
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in the involved eye or both eyes. By weakening the medial rectus muscles this procedure improves the crossed-eye appearance but does not improve outward eye movements (abductions).
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Other names for this condition include: Duane's retraction syndrome, eye retraction syndrome, retraction syndrome, congenital retraction syndrome and Stilling-TĂĽrk-Duane syndrome.
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Patient with Duane syndrome attempting to look far right. Notice the affected left eye faces straight and up, rather than following the right eye to the right.
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Type C: the limitation of adduction exceeds the limitation of abduction. There is an exotropic deviation and a head turn to compensate the loss of adduction
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Rosenbaum, AL (October 2004). "Costenbader Lecture. The efficacy of rectus muscle transposition surgery in esotropic Duane syndrome and VI nerve palsy".
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wall) is recommended an effective method to inactivate a lateral rectus muscle in cases of marked anomalous innervation and severe cocontraction.
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While usually isolated to the eye abnormalities, Duane syndrome can be associated with other problems including cervical spine abnormalities
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Hotchkiss MG, Miller NR, Clark AW, Green WR (May 1980). "Bilateral Duane's retraction syndrome. A clinical-pathologic case report".
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is uncommon and, where present, rarely dense. This can be treated with occlusion, and any refractive error can also be corrected.
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There are two known genetic associations with Duane Syndrome. In some families the condition is associated with variants in the
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A head turn to the side of the affected eye to compensate for the movement limitations of the eye(s) and to maintain
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nucleus and nerve was absent, and the lateral rectus muscle was innervated by the inferior division of the third
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78% of cases, and the left eye (71.9%) is affected more frequently than the right. Around 10–20% of cases are
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The majority of patients remain symptom free and able to maintain binocularity with only a slight face turn.
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Brown(1950) has classified Duane's syndrome according to the characteristics of the limitation of movement-
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Morad, Y; Kraft, SP; Mims JL, 3rd (June 2001). "Unilateral recession and resection in Duane syndrome".
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Type III: Limitation of both abduction and adduction and any form of horizontal strabismus
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Miyake N, Chilton J, Psatha M, Cheng L, Andrews C, Chan WM, et al. (August 2008).
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Acquired Duane's syndrome is a rare event occurring after peripheral nerve palsy.
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on adduction, with associated narrowing of the palpebral fissure (eye closing).
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Brown HW (1950). "Congenital structural muscle anomalies". In Allen JH (ed.).
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Disorders of ocular muscles, binocular movement, accommodation and refraction
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Alexandrakis G, Saunders RA (September 2001). "Duane retraction syndrome".
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Type A: with limited abduction and less-marked limitation of adduction
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Less marked limitation of adduction (inward movement) of the same eye.
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to move outward. The syndrome was first described by ophthalmologists
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Andrews, Caroline V.; Hunter, David G.; Engle, Elizabeth C. (1993).
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The first type is more common and accounts for 85% of the cases.
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Limitation of abduction (outward movement) of the affected eye.
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Rare congenital disease characterized by external gaze palsy
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gene and in others it is associated with variants in the
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Mehel E, Quére MA, Lavenant F, Pechereau A (1996). "".
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Emmett T. Cunningham; Paul Riordan-Eva (17 May 2011).
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Type B: showing limited abduction but normal adduction
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Diagnosis and management of ocular motility disorders
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most commonly characterized by the inability of the
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Duane Syndrome type I in left eye. 10-year-old girl.
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University of Washington, Seattle. 346:"Orphanet: Duane retraction syndrome" 214:Duane's syndrome has three variants: 7: 1936:Familial exudative vitreoretinopathy 555:10.1001/archopht.1980.01020030864013 410:10.1001/archopht.1996.01100140455017 344:RESERVED, INSERM US14-- ALL RIGHTS. 2059:non-arteritic anterior (NAION) 1896:Leber's hereditary optic neuropathy 687:. St Louis: Mosby. pp. 205–36. 473:Myron Yanoff; Jay S. Duker (2009). 1931:Persistent tunica vasculosa lentis 14: 1659:Polypoidal choroidal vasculopathy 1764:Central retinal artery occlusion 1769:Branch retinal artery occlusion 1498:Terrien's marginal degeneration 685:Starbismus Ophthalmic Symposium 435:"Learning About Duane Syndrome" 404:(10): 1255–6, discussion 1257. 1799:Bietti's crystalline dystrophy 1759:Central retinal vein occlusion 1488:Pellucid marginal degeneration 455:Mein, J.; Trimble, R. (1991). 1: 1852:Vitelliform macular dystrophy 1743:Posterior vitreous detachment 1609:Persistent pupillary membrane 520:10.1016/S0896-1549(05)70238-8 287:Surgical approaches include: 82:is a congenital rare type of 2339:Leber's congenital amaurosis 2250:Internuclear ophthalmoplegia 1941:Vogt-Koyanagi-Harada disease 1926:Persistent fetal vasculature 1857:Leber's congenital amaurosis 812:10.1016/j.jaapos.2004.07.006 2619:Syndromes affecting the eye 1138:Meibomian gland dysfunction 459:(2nd ed.). Blackwells. 165:, and congenital deafness. 2640: 1862:Birdshot chorioretinopathy 1836:Central serous retinopathy 1654:Focal choroidal excavation 1527:Corneal neovascularization 1344:Subconjunctival hemorrhage 652:10.1016/j.ajhg.2012.01.003 508:Ophthalmol. Clin. North Am 2574: 2561: 2329: 2245:Convergence insufficiency 2118: 1987: 1970: 1957: 1886:Primary juvenile glaucoma 1731:Cytomegalovirus retinitis 1373: 1360: 1146: 1102: 1089: 1080:Diseases of the human eye 699:"Squints & Lazy Eyes" 386:Archives of Ophthalmology 199:Transcription factor MafB 48: 39: 1755:Ocular ischemic syndrome 2255:One and a half syndrome 2009:Foster Kennedy syndrome 763:10.1067/mpa.2001.114187 602:10.1126/science.1156121 325:Pediatric ophthalmology 292:Medial rectus recession 2494:Argyll Robertson pupil 1294:Periorbital cellulitis 252:Differential diagnosis 114: 2467:Scintillating scotoma 2133:Kearns–Sayre syndrome 2076:Toxic and nutritional 2049:posterior (PION) 1532:Kayser–Fleischer ring 155:Klippel–Feil syndrome 112: 2609:Congenital disorders 2240:Conjugate gaze palsy 2111:Paralytic strabismus 2044:anterior (AION) 1826:Retinitis pigmentosa 1821:Macular degeneration 1594:Intermediate uveitis 1510:Keratoconjunctivitis 2545:Childhood blindness 2524:Parinaud's syndrome 2094:Extraocular muscles 1882:Ocular hypertension 1846:Epiretinal membrane 1831:Retinal haemorrhage 1686:Congenital cataract 594:2008Sci...321..839M 179:sixth cranial nerve 2071:Leber's hereditary 1738:Retinal detachment 1691:Childhood cataract 1503:Post-LASIK ectasia 1284:Orbital cellulitis 1233:Lacrimal apparatus 985:External resources 705:on 17 January 2013 159:Goldenhar syndrome 127:Retraction of the 115: 2596: 2595: 2592: 2591: 2557: 2556: 2553: 2552: 2499:Marcus Gunn pupil 2475: 2474: 2396:Visual impairment 2263: 2262: 2169: 2168: 2156:Fourth-nerve (IV) 2084: 2083: 2021:Optic disc drusen 1953: 1952: 1949: 1948: 1667: 1666: 1555: 1554: 1461:Corneal dystrophy 1356: 1355: 1352: 1351: 1227: 1226: 1030: 1029: 835:J. Fr. Ophtalmol. 640:Am. J. Hum. Genet 142:Poor convergence. 77: 76: 21:Medical condition 2631: 2563: 2327: 2318:Vision disorders 2277:Refractive error 2219:Brown's syndrome 2175:Other strabismus 2161:Sixth-nerve (VI) 2151:Oculomotor (III) 2123:Ophthalmoparesis 2116: 2107: 2098:Binocular vision 2031:Optic neuropathy 1997:optic papillitis 1985: 1972: 1959: 1848:(Macular pucker) 1566: 1547:Band keratopathy 1384: 1375: 1362: 1289:Orbital lymphoma 1176:Blepharophimosis 1166:Blepharochalasis 1113: 1104: 1091: 1070: 1063: 1056: 1047: 898: 888: 886: 884: 866:"Duane Syndrome" 851: 850: 830: 824: 823: 800:Journal of AAPOS 795: 789: 788: 782: 774: 751:Journal of AAPOS 746: 740: 739: 721: 715: 714: 712: 710: 701:. Archived from 695: 689: 688: 680: 674: 673: 663: 630: 624: 623: 613: 588:(5890): 839–43. 573: 567: 566: 543:Arch. Ophthalmol 538: 532: 531: 503: 497: 496: 480: 470: 461: 460: 452: 446: 445: 443: 441: 431: 422: 421: 393: 381: 375: 374: 368: 360: 358: 356: 341: 183:oculomotor nerve 147:binocular vision 73: 72: 44: 27:Duane's syndrome 24: 2639: 2638: 2634: 2633: 2632: 2630: 2629: 2628: 2599: 2598: 2597: 2588: 2570: 2549: 2528: 2471: 2440: 2400: 2354:Color blindness 2320: 2312: 2259: 2233:Other binocular 2228: 2165: 2137: 2100: 2096: 2092: 2080: 2025: 1978: 1966: 1945: 1901:Ocular hypotony 1866: 1726:Chorioretinitis 1707: 1663: 1647:Chorioretinitis 1623: 1604:Rubeosis iridis 1582: 1551: 1522:Corneal opacity 1478:Corneal ectasia 1405: 1369: 1348: 1334:Pseudopterygium 1298: 1260: 1223: 1190: 1186:Ankyloblepharon 1142: 1098: 1085: 1084: 1074: 1036:Duanes Syndrome 1031: 1026: 1025: 980: 979: 909: 895: 882: 880: 863: 860: 858:Further reading 855: 854: 841:(8–9): 533–42. 832: 831: 827: 797: 796: 792: 775: 748: 747: 743: 736: 723: 722: 718: 708: 706: 697: 696: 692: 682: 681: 677: 632: 631: 627: 575: 574: 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2230: 2229: 2227: 2226: 2224:Duane syndrome 2221: 2216: 2211: 2210: 2209: 2204: 2194: 2189: 2179: 2177: 2171: 2170: 2167: 2166: 2164: 2163: 2158: 2153: 2147: 2145: 2139: 2138: 2136: 2135: 2130: 2125: 2119: 2113: 2104: 2086: 2085: 2082: 2081: 2079: 2078: 2073: 2068: 2063: 2062: 2061: 2056: 2051: 2046: 2035: 2033: 2027: 2026: 2024: 2023: 2018: 2013: 2012: 2011: 2001: 2000: 1999: 1992:Optic neuritis 1988: 1982: 1968: 1967: 1962: 1955: 1954: 1951: 1950: 1947: 1946: 1944: 1943: 1938: 1933: 1928: 1923: 1921:Phthisis bulbi 1918: 1913: 1908: 1903: 1898: 1893: 1888: 1874: 1872: 1868: 1867: 1865: 1864: 1859: 1854: 1849: 1843: 1838: 1833: 1828: 1823: 1818: 1817: 1816: 1811: 1806: 1804:Coats' disease 1801: 1796: 1794:of prematurity 1791: 1786: 1781: 1771: 1766: 1761: 1752: 1747: 1746: 1745: 1735: 1734: 1733: 1728: 1717: 1715: 1709: 1708: 1706: 1705: 1703:Ectopia lentis 1700: 1695: 1694: 1693: 1688: 1677: 1675: 1669: 1668: 1665: 1664: 1662: 1661: 1656: 1651: 1650: 1649: 1639: 1633: 1631: 1625: 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1024: 1023: 1012: 1010:Duane Syndrome 1001: 989: 988: 986: 982: 981: 978: 977: 966: 955: 941: 926: 910: 905: 904: 902: 901:Classification 894: 893:External links 891: 890: 889: 859: 856: 853: 852: 825: 790: 741: 735:978-0071634205 734: 716: 690: 675: 646:(3): 494–501. 625: 568: 533: 498: 491: 462: 447: 423: 376: 335: 334: 332: 329: 328: 327: 320: 317: 307: 304: 303: 302: 298: 295: 265: 262: 253: 250: 246: 245: 242: 239: 232: 231: 228: 222: 211: 210:Classification 208: 206: 203: 190: 187: 170: 167: 151: 150: 143: 140: 136: 125: 122: 106: 103: 92:Jakob Stilling 80:Duane syndrome 75: 74: 57: 51: 50: 46: 45: 37: 36: 33: 29: 28: 20: 15: 13: 10: 9: 6: 4: 3: 2: 2636: 2625: 2622: 2620: 2617: 2615: 2612: 2610: 2607: 2606: 2604: 2585: 2582: 2580: 2577: 2576: 2573: 2569: 2564: 2560: 2546: 2543: 2541: 2538: 2537: 2535: 2531: 2525: 2522: 2520: 2517: 2515: 2512: 2510: 2507: 2505: 2504:Adie syndrome 2502: 2500: 2497: 2495: 2492: 2490: 2487: 2486: 2484: 2482: 2478: 2468: 2465: 2463: 2460: 2458: 2455: 2453: 2450: 2449: 2447: 2443: 2437: 2434: 2430: 2427: 2425: 2422: 2420: 2417: 2416: 2415: 2412: 2411: 2409: 2407: 2403: 2397: 2393: 2389: 2386: 2382: 2379: 2378: 2377: 2374: 2370: 2367: 2365: 2362: 2360: 2359:Achromatopsia 2357: 2356: 2355: 2352: 2350: 2347: 2345: 2342: 2340: 2337: 2335: 2332: 2331: 2328: 2325: 2323: 2319: 2315: 2309: 2306: 2304: 2300: 2299:Anisometropia 2297: 2295: 2292: 2288: 2285: 2283: 2280: 2279: 2278: 2275: 2274: 2272: 2270: 2266: 2256: 2253: 2251: 2248: 2246: 2243: 2241: 2238: 2237: 2235: 2231: 2225: 2222: 2220: 2217: 2215: 2212: 2208: 2205: 2203: 2200: 2199: 2198: 2195: 2193: 2190: 2188: 2184: 2181: 2180: 2178: 2176: 2172: 2162: 2159: 2157: 2154: 2152: 2149: 2148: 2146: 2144: 2140: 2134: 2131: 2129: 2126: 2124: 2121: 2120: 2117: 2114: 2112: 2108: 2105: 2103: 2102:Accommodation 2099: 2095: 2091: 2087: 2077: 2074: 2072: 2069: 2067: 2064: 2060: 2057: 2055: 2052: 2050: 2047: 2045: 2042: 2041: 2040: 2037: 2036: 2034: 2032: 2028: 2022: 2019: 2017: 2016:Optic atrophy 2014: 2010: 2007: 2006: 2005: 2002: 1998: 1995: 1994: 1993: 1990: 1989: 1986: 1983: 1981: 1977: 1973: 1969: 1965: 1960: 1956: 1942: 1939: 1937: 1934: 1932: 1929: 1927: 1924: 1922: 1919: 1917: 1916:Keratomycosis 1914: 1912: 1911:Globe rupture 1909: 1907: 1904: 1902: 1899: 1897: 1894: 1892: 1889: 1887: 1883: 1879: 1876: 1875: 1873: 1869: 1863: 1860: 1858: 1855: 1853: 1850: 1847: 1844: 1842: 1841:Macular edema 1839: 1837: 1834: 1832: 1829: 1827: 1824: 1822: 1819: 1815: 1812: 1810: 1807: 1805: 1802: 1800: 1797: 1795: 1792: 1790: 1787: 1785: 1782: 1780: 1777: 1776: 1775: 1772: 1770: 1767: 1765: 1762: 1760: 1756: 1753: 1751: 1750:Retinoschisis 1748: 1744: 1741: 1740: 1739: 1736: 1732: 1729: 1727: 1724: 1723: 1722: 1719: 1718: 1716: 1714: 1710: 1704: 1701: 1699: 1696: 1692: 1689: 1687: 1684: 1683: 1682: 1679: 1678: 1676: 1674: 1670: 1660: 1657: 1655: 1652: 1648: 1645: 1644: 1643: 1640: 1638: 1637:Choroideremia 1635: 1634: 1632: 1630: 1626: 1620: 1617: 1615: 1614:Iridodialysis 1612: 1610: 1607: 1605: 1602: 1600: 1597: 1595: 1592: 1590: 1587: 1586: 1584: 1579: 1576: 1574: 1571: 1570: 1567: 1564: 1562: 1558: 1548: 1545: 1543: 1542:Arcus senilis 1540: 1538: 1537:Haab's striae 1535: 1533: 1530: 1528: 1525: 1523: 1520: 1516: 1513: 1512: 1511: 1508: 1504: 1501: 1499: 1496: 1494: 1491: 1489: 1486: 1484: 1481: 1480: 1479: 1476: 1472: 1469: 1467: 1464: 1463: 1462: 1459: 1457: 1454: 1452: 1451:Corneal ulcer 1449: 1445: 1442: 1440: 1437: 1435: 1432: 1430: 1429:acanthamoebic 1427: 1425: 1422: 1421: 1420: 1417: 1416: 1414: 1412: 1408: 1402: 1399: 1397: 1394: 1393: 1391: 1389: 1385: 1382: 1380: 1379:Fibrous tunic 1376: 1372: 1368: 1363: 1359: 1345: 1342: 1340: 1337: 1335: 1332: 1330: 1327: 1323: 1320: 1319: 1318: 1315: 1313: 1310: 1309: 1307: 1305: 1301: 1295: 1292: 1290: 1287: 1285: 1282: 1280: 1277: 1275: 1272: 1271: 1269: 1267: 1263: 1257: 1256:Xerophthalmia 1254: 1252: 1249: 1247: 1244: 1242: 1239: 1238: 1236: 1234: 1230: 1220: 1217: 1215: 1212: 1210: 1207: 1205: 1202: 1201: 1199: 1197: 1193: 1187: 1184: 1182: 1179: 1177: 1174: 1172: 1169: 1167: 1164: 1162: 1161:Lagophthalmos 1159: 1157: 1154: 1152: 1149: 1148: 1145: 1139: 1136: 1134: 1131: 1129: 1126: 1124: 1121: 1120: 1118: 1114: 1111: 1109: 1105: 1101: 1097: 1092: 1088: 1081: 1078: 1077: 1071: 1066: 1064: 1059: 1057: 1052: 1051: 1048: 1042: 1038: 1037: 1033: 1032: 1022: 1018: 1017: 1013: 1011: 1007: 1006: 1002: 1000: 996: 995: 991: 990: 987: 983: 976: 972: 971: 967: 965: 961: 960: 956: 954: 951: 947: 946: 942: 940: 936: 935: 931: 927: 925: 921: 920: 916: 912: 911: 908: 903: 899: 892: 879: 875: 871: 867: 862: 861: 857: 848: 844: 840: 837:(in French). 836: 829: 826: 821: 817: 813: 809: 806:(5): 409–19. 805: 801: 794: 791: 786: 780: 772: 768: 764: 760: 757:(3): 158–63. 756: 752: 745: 742: 737: 731: 727: 720: 717: 704: 700: 694: 691: 686: 679: 676: 671: 667: 662: 657: 653: 649: 645: 641: 637: 629: 626: 621: 617: 612: 607: 603: 599: 595: 591: 587: 583: 579: 572: 569: 564: 560: 556: 552: 548: 544: 537: 534: 529: 525: 521: 517: 514:(3): 407–17. 513: 509: 502: 499: 494: 492:9780323043328 488: 484: 479: 478: 477:Ophthalmology 469: 467: 463: 458: 451: 448: 436: 430: 428: 424: 419: 415: 411: 407: 403: 399: 391: 387: 380: 377: 372: 366: 351: 350:www.orpha.net 347: 340: 337: 330: 326: 323: 322: 318: 316: 314: 305: 299: 296: 293: 290: 289: 288: 285: 283: 278: 277:cranial nerve 273: 271: 263: 261: 258: 251: 249: 243: 240: 237: 236: 235: 229: 227: 223: 221: 217: 216: 215: 209: 204: 202: 200: 196: 188: 186: 184: 180: 176: 168: 166: 164: 163:heterochromia 160: 156: 148: 144: 141: 137: 134: 130: 126: 123: 120: 119: 118: 111: 104: 102: 99: 97: 93: 89: 85: 81: 71: 65: 61: 60:Ophthalmology 58: 56: 52: 47: 43: 38: 34: 30: 25: 19: 2394: / 2390: / 2369:Monochromacy 2301: / 2223: 2197:Heterophoria 2185: / 1884: / 1880: / 1784:hypertensive 1757: / 1578:Ciliary body 1493:Keratoglobus 1401:Episcleritis 1279:Enophthalmos 1274:Exophthalmos 1219:Trichomegaly 1214:Distichiasis 1116:Inflammation 1034: 1014: 1003: 992: 968: 957: 943: 928: 913: 881:. Retrieved 869: 838: 834: 828: 803: 799: 793: 779:cite journal 754: 750: 744: 725: 719: 707:. Retrieved 703:the original 693: 684: 678: 643: 639: 628: 585: 581: 571: 549:(5): 870–4. 546: 542: 536: 511: 507: 501: 476: 456: 450: 438:. Retrieved 401: 397: 389: 385: 379: 353:. Retrieved 349: 339: 309: 306:Epidemiology 286: 274: 267: 259: 255: 247: 233: 213: 192: 172: 152: 116: 105:Presentation 100: 79: 78: 18: 2519:Cycloplegia 2462:Photophobia 2457:Hemeralopia 2414:Hemianopsia 2392:Vision loss 2303:Aniseikonia 2294:Astigmatism 2214:Cyclotropia 2192:Hypertropia 2004:Papilledema 1976:Optic nerve 1809:Sickle cell 1789:Purtscher's 1774:Retinopathy 1642:Choroiditis 1483:Keratoconus 1304:Conjunctiva 1181:Xanthelasma 1133:Blepharitis 1005:GeneReviews 870:GeneReviews 282:contracture 175:eye muscles 32:Other names 2603:Categories 2568:Infections 2489:Anisocoria 2452:Asthenopia 2445:subjective 2429:homonymous 2424:bitemporal 2376:Nyctalopia 2364:Dichromacy 2308:Presbyopia 2269:Refraction 2090:Strabismus 1980:Optic disc 1339:Pinguecula 1204:Trichiasis 970:DiseasesDB 331:References 195:Chimerin 1 84:strabismus 2540:Nystagmus 2514:Mydriasis 2388:Blindness 2334:Amblyopia 2322:Blindness 2282:Hyperopia 2207:Exophoria 2202:Esophoria 2187:Exotropia 2183:Esotropia 1721:Retinitis 1419:Keratitis 1396:Scleritis 1329:Pterygium 1209:Madarosis 1156:Ectropion 1151:Entropion 1128:Chalazion 1041:eMedicine 994:eMedicine 392:: 133–50. 270:Amblyopia 264:Treatment 226:exotropia 220:esotropia 205:Diagnosis 139:limited.) 131:into the 55:Specialty 2579:Trachoma 2344:Diplopia 2039:Ischemic 1964:Pathways 1878:Glaucoma 1779:diabetic 1681:Cataract 1619:Synechia 1471:Meesmann 1439:Exposure 1424:herpetic 1322:allergic 1312:Chemosis 1246:Epiphora 1016:Orphanet 883:28 April 878:20301369 820:15492732 771:11404742 709:19 April 670:22387013 620:18653847 528:11705140 365:cite web 355:28 April 319:See also 313:familial 189:Genetics 64:genetics 2419:binasal 2406:Anopsia 2349:Scotoma 2143:palsies 1906:Red eye 1891:Floater 1698:Aphakia 1629:Choroid 1599:Hyphema 1589:Uveitis 1196:Eyelash 999:oph/326 964:D004370 847:8944136 661:3309183 611:2593867 590:Bibcode 582:Science 563:7378011 485:–1334. 418:8859088 129:eyeball 2509:Miosis 2287:Myopia 2066:Kjer's 1814:photic 1713:Retina 1466:Fuchs' 1434:fungal 1411:Cornea 1388:Sclera 1171:Ptosis 1108:Eyelid 1096:Adnexa 953:604356 950:126800 939:378.71 876:  845:  818:  769:  732:  668:  658:  618:  608:  561:  526:  489:  440:6 June 416:  201:gene. 169:Causes 133:socket 66:  2533:Other 2481:Pupil 1871:Other 1515:sicca 1367:Globe 1266:Orbit 975:30810 924:H50.8 1673:Lens 1573:Iris 1123:Stye 959:MeSH 945:OMIM 934:9-CM 885:2019 874:PMID 843:PMID 816:PMID 785:link 767:PMID 730:ISBN 711:2015 666:PMID 616:PMID 559:PMID 524:PMID 487:ISBN 483:1333 442:2007 414:PMID 371:link 357:2019 1039:at 1021:233 930:ICD 915:ICD 808:doi 759:doi 656:PMC 648:doi 606:PMC 598:doi 586:321 551:doi 516:doi 406:doi 402:114 284:). 88:eye 35:DRS 2605:: 1019:: 1008:: 997:: 973:: 962:: 948:: 937:: 922:: 919:10 868:. 839:19 814:. 802:. 781:}} 777:{{ 765:. 753:. 664:. 654:. 644:90 642:. 638:. 614:. 604:. 596:. 584:. 580:. 557:. 547:98 545:. 522:. 512:14 510:. 465:^ 426:^ 412:. 400:. 390:34 388:. 367:}} 363:{{ 348:. 161:, 157:, 62:, 1069:e 1062:t 1055:v 932:- 917:- 907:D 887:. 849:. 822:. 810:: 804:8 787:) 773:. 761:: 755:5 738:. 713:. 672:. 650:: 622:. 600:: 592:: 565:. 553:: 530:. 518:: 495:. 444:. 420:. 408:: 373:) 359:. 149:.

Index


Specialty
Ophthalmology
genetics
Edit this on Wikidata
strabismus
eye
Jakob Stilling
Alexander Duane

eyeball
socket
binocular vision
Klippel–Feil syndrome
Goldenhar syndrome
heterochromia
eye muscles
sixth cranial nerve
oculomotor nerve
Chimerin 1
Transcription factor MafB
esotropia
exotropia
Amblyopia
cranial nerve
contracture
Medial rectus recession
familial
Pediatric ophthalmology
"Orphanet: Duane retraction syndrome"

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