Strabismus最新文献

{"title":"3D modeling for visualization of the orbital pulley system.","authors":"Keiko Kunimi, Ichiro Hamasaki, Reika Kono, Toshiaki Goseki, Nobuyuki Shoji","doi":"10.1080/09273972.2025.2486992","DOIUrl":"10.1080/09273972.2025.2486992","url":null,"abstract":"<p><p><i>Purpose</i>: To facilitate visual appreciation of the anatomical relationships among the extraocular muscles and the orbital suspensory system, these tissues were realistically rendered using Blender, a three-dimensional (3D) modeling software. <i>Methods</i>: Information on the size and position of the globe and extraocular muscles (EOMs) in healthy adult participants was obtained from published studies and was used to create a detailed, realistic 3D model of the orbital pulley system. <i>Results</i>: The 3D model successfully rendered realistic anatomical structures and illustrated the relationship among the orbital pulleys, globe, Tenon's fascia, and EOMs. Key features of the model include a) a pulley sleeve for each rectus EOM, with a central pulley ring; b) pulley array, interconnecting bands linking the rectus pulley rings to the oblique muscles; and c) pulley slings attached anteriorly to the lateral and nasal orbital walls, and posteriorly to Tenon's fascia forming a continuous enclosure around the globe. <i>Conclusions</i>: This educational model provides an anatomically accurate visualization accessible to strabismus specialists, ophthalmologists, and extraocular surgeons. The model also holds potential for adaptation to depict pathological anatomy in strabismus caused by orbital pulleys disorders.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"1-9"},"PeriodicalIF":0.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative evaluation of surgical outcomes in acute acquired comitant esotropia managed with and without pre-operative prism adaptation test.","authors":"Purva Verma, Mittali Khurana, Vaishali Tomar, Kanchita Pandey, Subhash Dadeya, Paromita Dutta","doi":"10.1080/09273972.2025.2495010","DOIUrl":"https://doi.org/10.1080/09273972.2025.2495010","url":null,"abstract":"<p><p><i>Introduction</i>: Acute acquired comitant esotropia (AACE) is a rare type of esotropia for which until now the main treatment modalities prescribed are prism glasses, botulinum toxin injection and surgery. The purpose of our study is to compare the surgical outcomes in patients with AACE managed with and without pre-operative prism adaptation test (PAT). <i>Methods</i>: We have done a prospective, interventional study for the duration of one year. Forty patients with AACE were randomly divided into two groups by computerized randomization - those undergoing surgery after pre- operative PAT and those undergoing surgery without it. In control group (Group C), patients underwent surgery based on the angle of deviation at distance measured by prism bar cover test (PBCT) and wearing full cycloplegic correction, while in test group (Group T), patients underwent surgery based on the preoperative prism-adapted angle at distance wearing prism power determined by PBCT and wearing full cycloplegic correction. The primary outcome was post-operative deviation and secondary outcome was stereopsis. Post-operatively, patients were followed up at week 1, week 4 and final follow-up was done at week 12. <i>Results</i>: The mean age of the 40 patients was 13.95   ±   5.36 years. The age of the youngest and the oldest patients enrolled were 8 years and 35 years, respectively. The mean SD (standard deviation) of the PBCT for distance (measured in prism diopters - PD), PBCT for near (measured in prism diopters - PD) and stereopsis for near (measured in seconds of arc using Titmus Fly Test) at last follow-up visit (week 12) in the test versus control group were as follows: 1.70 ±   1.42 PD versus 4.75   ±   3.39 PD, 2.55   ±   1.82 PD versus 6.95   ±   3.35 PD and 74.90 ± 53.47 sec of arc versus 48.60   ±   31.97 sec of arc, respectively, which were statistically significant (<i>p</i>  =  <0.01, <i>p</i> = <0.01 and <i>p</i> = .03, respectively). The change in visual acuity and spherical equivalent in each group was insignificant. <i>Discussion</i>: Surgical outcomes in patients of AACE are better when surgical planning is done after performing pre-operative PAT as opposed to when surgery is planned without PAT. Better motor alignment (less under correction and over correction) and better sensory results in terms of improvement in stereopsis were observed. We recommend the use of pre-operative PAT in surgical planning in patients of AACE.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optical coherence tomography (OCT) parameters in amblyopia.","authors":"Adonis Chedid, Maria Fronius, Yaroslava Wenner, Licia Cirina, Thomas Kohnen, Claudia Kuhli-Hattenbach","doi":"10.1080/09273972.2025.2478078","DOIUrl":"https://doi.org/10.1080/09273972.2025.2478078","url":null,"abstract":"<p><strong>Background: </strong>Publications on optical coherence tomography (OCT) parameters in amblyopic eyes compared to fellow eyes are discordant. Our study not only compares OCT data of fellow and amblyopic eyes, but is the first study to deliver pilot results on OCT parameter changes after long-term electronic monitoring of occlusion therapy.</p><p><strong>Methods: </strong>Thirty eyes with strabismic, anisometropic or mixed amblyopia and the corresponding fellow eyes underwent OCT of the macula and optic disc with a Topcon 3D-OCT-2000. In a subgroup of six patients, the same examinations were additionally performed at the end of long-term objectively measured occlusion therapy with Occlusion-Dose-Monitoring (ODM) of ≥2135 hours. Paired t-tests or matched pairs Wilcoxon tests were performed to compare optic disc values, macular thickness, as well as thickness of different layers of the macula of the amblyopic eye versus the fellow eye. Specifically, the Ganglion Cell Layer (GCL) with the Inner Plexiform Layer (IPL) designated as GCL+, as well as combined with the Retinal Nerve Fiber Layer (RNFL) designated as GCL++, were analyzed. For the subgroup of patients with follow-up OCT, the same tests were performed to compare the values in both eyes before and after occlusion therapy.</p><p><strong>Results: </strong>Average thickness (AT) and total volume (TV) of the macula of amblyopic eyes (282.0 ± 13.0 µm; 7.98 mm³ ±0.37) were increased (marginally significant p<i>=</i>0.0495 for both) compared to fellow eyes (278.6 µm ± 13.3; 7.88 mm³ ±0.37), all other parameters did not differ. In the group with follow-up OCT, the AT and TV of the amblyopic eyes significantly decreased after occlusion (278.8 µm before vs. 268.3 µm after and 7.89 mm³ before vs. 7.59 mm³ after; <i>p</i> = .031 for both). The thicknesses of inner retinal layers were not significantly different between amblyopic and fellow eyes or after therapy.</p><p><strong>Conclusions: </strong>Our results suggest that the macula of amblyopic eyes may be thicker than in fellow eyes, particularly in eyes with moderate-to-severe amblyopia. Occlusion therapy may lead to a thinning of the macula in the amblyopic eye or both eyes. The layers included in GCL+ and GCL++ do not seem to be the substrate of the observed structural changes.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"1-11"},"PeriodicalIF":0.8,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Horizontal gaze palsy with ipsilateral esotropia with substituted convergence in a child with medulloblastoma.","authors":"Prachi Agashe, Marushka Aguiar, Ashish Doshi","doi":"10.1080/09273972.2025.2482248","DOIUrl":"https://doi.org/10.1080/09273972.2025.2482248","url":null,"abstract":"<p><p><i>Introduction</i>: Horizontal Gaze palsy with concurrent esotropia and substituted convergence is a rare clinical presentation. <i>Methods</i>: We report a case of a 6-year-old child being treated for pontine medulloblastoma who presented with bilateral abducens and bilateral facial nerve palsy. The patient progressed to develop right sided horizontal gaze palsy with bilateral abducens palsy and substituted convergence. In view of limited abduction in his right eye, a modified Nishida procedure was performed followed by botulinum toxin to the right medial rectus both of which failed in improving the ocular alignment. Subsequently, the patient underwent an asymmetric, bilateral recess-resect procedure. <i>Results</i>: The recess-resect procedure resulted in a correction of his compensatory face turn and ocular deviation with orthotropia in primary position and binocular single vision. <i>Conclusion</i>: This case report reiterates the importance of asymmetric recess-resect surgery rather than vertical rectus transposition surgery in such a case.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical dose-responses of bilateral medial rectus muscle recession in acute acquired comitant esotropia compared to infantile esotropia.","authors":"Worawalun Honglertnapakul, Watcharakorn Lertduailap, Kidakarn Meethongkam, Parnchat Pukrushpan","doi":"10.1080/09273972.2025.2474430","DOIUrl":"https://doi.org/10.1080/09273972.2025.2474430","url":null,"abstract":"<p><p><i>Objective</i>: To determine the surgical dose-responses of the bilateral medial rectus recession in acute acquired comitant esotropia (AACE) compared to infantile esotropia. <i>Design</i>: Retrospective study. <i>Methods</i>: The medical records of patients diagnosed with AACE and infantile esotropia who underwent bilateral medial rectus muscle recession (BMRR) were reviewed. Patient characteristics, ocular examinations and surgical data were collected. A motor success was defined as horizontal deviation within 10 prism diopters (PD) of ortho, and a sensory success was defined as no diplopia at 6 months after the surgery. <i>Results</i>: A total of 114 patients were included. There were 39 patients with AACE [median (Q1-Q3) age was 20 (15-25) years, 56% was female] and 75 patients with infantile esotropia [median (Q1-Q3) age was 3 (1-5) years, 56% was female]. The surgical dose-responses of BMRR in AACE at distance and near were 2.67 PD/mm (r² = 22.8%) and 3.48 PD/mm (r² = 32.9%), respectively. The surgical dose-responses of BMRR in infantile esotropia at distance and near were 3.91 PD/mm (r² = 17.8%) and 4.64 PD/mm (r² = 18.0%), respectively. Seventy-four percent of patients with AACE and 63% of patients with infantile esotropia achieved a motor success. Eighty-five percent of patients with AACE achieved a sensory success. The postoperative drift at distance and at near was not significant in both groups [AACE 0 PD (-6 to 10), <i>p</i> = .26 and 2 PD (-2 to 6), <i>p</i> = .44; infantile esotropia [8 PD (0-14), <i>p</i> = .12 and 4 PD (0-10), <i>p</i> = .22]. <i>Conclusions</i>: The BMRR in infantile esotropia had a larger surgical dose-response than in AACE. In both groups, the surgical dose-responses at near were greater than at distance. There was no significant postoperative drift at distance and at near in both groups.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"1-8"},"PeriodicalIF":0.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of stereopsis in unilateral amblyopia subjects using syntonic phototherapy.","authors":"Shakila Abbas, Malaika Younus, Ayesha Bukhari, Mahnoor Anwar, Aalia Iqrar","doi":"10.1080/09273972.2024.2389228","DOIUrl":"10.1080/09273972.2024.2389228","url":null,"abstract":"<p><strong>Introduction: </strong>Amblyopia is two Snellen line difference between both eyes. Red filter therapy is a treatment option for amblyopia based on principle of syntonic phototherapy. The purpose of this study is to assess the stereopsis in amblyopic patient using syntonic phototherapy.</p><p><strong>Methods: </strong>A Qusai experimental study was conducted from August 2021 to December 2021 at Madina Teaching Hospital Faisalabad. A total 30 subjects of both gender and ages ranging between 8 to 18 years were included through a non-probability purposive sampling technique. The sample was considered of 15 anisometropic amblyopes and 15 strabismic amblyope. Data was collected using a Performa and pre assessments of stereopsis by Titmus fly chart were recorded without red filter. Red filter glasses were prescribed for 4 week, post assessment data was recorded after 4 weeks. Data was analyzed by using Paired sample T test and Independent Sample T test in SPSS 20 software.</p><p><strong>Results: </strong>After syntonic phototherapy significant improvement was seen, mean stereopsis was 48.00000 (<i>p</i> = 0.002) in anisometropic amblyopes while mean improvement of stereopsis 1.670.93333 (<i>p</i> = 0.00) in strabismic amblyopes. Anisometropic amblyopic patients showed significantly better improvement in stereopsis (<i>p</i> = 0.00) by syntonic phototherapy as compared to strabismic amblyopes.</p><p><strong>Conclusion: </strong>Significant improvement was seen in stereopsis, while improvement was more significant in anisometropic amblyopes as compared to strabismic amblyopes. Children were obsessed with the red filter glasses while their parents found syntonic therapy simple plus facile and gave good results. So, eye care professionals must be aware of this new therapy and they should keep syntonic phototherapy in mind whenever they are dealing with amblyopic patients.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study of the relative orientation of the extraocular rectus muscles: an advanced cadaveric approach.","authors":"Andrew T Barton, Viren K Rana, Eric J Kim, Surya Khatri, James Y Lee, Jamie Schaefer","doi":"10.1080/09273972.2024.2388076","DOIUrl":"10.1080/09273972.2024.2388076","url":null,"abstract":"<p><p><i>Purpose:</i> The anatomy of the extraocular rectus muscle insertions is clinically relevant in the field of ophthalmology. This descriptive cadaveric study determines the relative degree orientation of the superior, lateral, and inferior rectus muscles with respect to the medial rectus and investigates the distances between the rectus muscle insertions. <i>Method:</i> Thirty cadavers (50% female, mean age = 81.86 years, SD 12.16) were included for a total of 60 eyes. For each eye, a lateral canthotomy and cantholysis were performed followed by a peritomy. Muscle hooks were then used to access and isolate the rectus muscles. The degree orientation was determined by marking the muscle midpoints at insertion, using the center of the cornea as the vertex, and measuring the angle with the Angle Meter 360 application (© Alexey Kozlov) (Figure 1). The distances between rectus muscles were measured from the same muscle midpoints using calipers. <i>Results:</i> The degree orientations with respect to the medial rectus are displayed in Figure 2 and were as follows: superior rectus (mean = 93.14, SD = 3.04, min. 82.3, max. 100.3), lateral rectus (mean = 180.21, SD = 5.65, min. 170.5, max. 190.6), and inferior rectus (mean = 90.57, SD = 4.47, min. 84.0, max. 98.9). The distances (measured in mm) between rectus muscle midpoints at insertion included medial rectus to inferior rectus (mean = 13.64, SD = 0.54), inferior rectus to lateral rectus (mean = 13.79, SD = 0.75), lateral rectus to superior rectus (mean = 13.54, SD = 0.63), and superior rectus to medial rectus (mean = 13.83, SD = 0.75). The relative distances between the midpoints of the extraocular muscles observed in males versus females showed statistically significant differences in medial rectus to inferior rectus (13.8 vs. 13.5, <i>p</i> = .01), inferior rectus to lateral rectus (14.1 vs. 13.5, <i>p</i> = .03), and superior rectus to medial rectus (14.0 vs. 13.5, <i>p</i> = .04), respectively (Table 1). <i>Conclusion:</i> This is an important study of the extraocular muscle degree orientation performed with an innovative measuring approach. The degree orientation of the insertions relative to the medial rectus may have surgical application in the field of ophthalmology.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"54-57"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of strabismus in Pakistan: a systematic review and meta-analysis.","authors":"Zainab Zehra, Christopher S von Bartheld, Wishal Khan, Maleeha Azam, Raheel Qamar","doi":"10.1080/09273972.2024.2408416","DOIUrl":"10.1080/09273972.2024.2408416","url":null,"abstract":"<p><p><i>Purpose</i>: Strabismus is an ocular condition characterized by misalignment of the visual axis. The global prevalence of strabismus is about 2-3%, which varies between different countries and ethnicities. The aim of this study was to conduct a meta-analysis of studies, which had previously reported the prevalence of strabismus in Pakistan, in order to obtain the overall prevalence of strabismus in the country. <i>Methods</i>: All community-based studies reporting the prevalence of strabismus from Pakistan were searched using international databases and local ophthalmology journals. Information about sample size, number of individuals with strabismus, and location and duration of the study was recorded. Statistical analysis including heterogeneity testing, pooled prevalence calculation and regression analysis were done using the R software. <i>Results</i>: Heterogeneity tests, P_{heterogeneity} < .01, suggested high heterogeneity between the different studies. The pooled prevalence of strabismus was 0.7% [95% confidence interval (CI): 0.39%-1.23%] according to the random effects model, with a decreasing trend in prevalence from 1995 to 2020. Esotropia was more frequent than exotropia in both population-based and clinic-based studies. <i>Conclusion</i>: The prevalence of strabismus in Pakistan is comparatively lower than the worldwide prevalence, and it appears to be decreasing over the last three decades, consistent with global trends.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"44-53"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anteriorization of the inferior oblique muscle versus anteriorization and resection for asymmetrical dissociated vertical deviation.","authors":"Ghada Osama, Hala Elhilali, Magda Salah, Heba M Fouad","doi":"10.1080/09273972.2024.2402925","DOIUrl":"10.1080/09273972.2024.2402925","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the efficacy of two methods: first, bilateral symmetric anteriorization of the inferior oblique muscle and second: combined resection and anteriorization of the inferior oblique (IO) muscle for asymmetric dissociated vertical deviation (DVD).</p><p><strong>Design: </strong>Prospective randomized clinical trial.</p><p><strong>Methods: </strong>This study included fifty-four patients presenting with bilateral asymmetric DVD and inferior oblique overaction (IOOA). Two equal groups were randomly allocated by odd and even number distribution. Twenty-seven patients underwent bilateral symmetric anteriorization of the IO muscle and twenty-seven patients underwent anteriorization of the IO of one eye and anteriorization with IO resection in the eye with the larger deviation. According to the difference in measured DVD between the two eyes whether less or more than 5 PD; a 3 or 5 mm resection was done, respectively.</p><p><strong>Results: </strong>The mean post-operative reduction of DVD in the anteriorization group was 9.19 ± 3.40 PD in the right eye and 8.78 ± 4.17 PD in the left eye, which were highly significant. (<i>p</i>-value .0002). The resection group had a mean post-operative DVD reduction of 11.7 ± 2.74 PD in resected eyes and 7.3 ± 3.72 PD in non-resected eyes. These reductions were also highly significant (<i>p</i>-value 0.0001). Reduction of inter-ocular difference between both groups failed to show a statistical difference (<i>p</i>-value 0.285). The IOOA was significantly reduced in both groups. Improvement in the average post-operative DVD between the two groups and the post-operative improvement in IOOA failed to show a statistically significant difference (<i>p</i>-value 0.265 and 0.804 respectively) which showed that both procedures are effective.</p><p><strong>Conclusion: </strong>Both surgical modalities are effective in managing asymmetric dissociated vertical deviation associated with IOOA.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"28-35"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Angiographically silent macular retinoschisis and vitreomacular traction in a patient with same - side Duane retraction syndrome.","authors":"Işıl Kefeli, Aylin Yaman, Ali Osman Saatci","doi":"10.1080/09273972.2024.2399351","DOIUrl":"10.1080/09273972.2024.2399351","url":null,"abstract":"<p><p><i>Introduction:</i> To report the unusual fundus features of a case with unilateral Duane retraction syndrome (DRS) with same-side extensive macular retinoschisis. <i>Methods:</i> A 75-year-old woman was diagnosed to have DRS type 3 and several multimodal fundus imaging modalities were performed. <i>Results:</i> There was limited abduction and adduction, globe retraction, and narrowing of the palpebral fissure on the adduction of the left eye without a compensatory face turn. Concurrently, spectral domain optical coherence tomography revealed marked macular retinoschisis and severe vitreoretinal traction without any evidence of dye leakage or pooling on fluorescein angiography in the left eye. <i>Discussion:</i> Various ocular abnormalities may rarely accompany DRS and the present case is the first reported case of most likely coincidental macular retinoschisis in association with DRS.</p>","PeriodicalId":51700,"journal":{"name":"Strabismus","volume":" ","pages":"58-60"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}