Duane Retraction Syndrome

Purpose of Study: To evaluate and to manage if manage-ment indicated for cases of Duane retraction syndrome. Patients and Methods: 15 Duane retraction syndrome (DRS) patients seen in Pediatric clinic in Tripoli Eye Hospital in period from January 2006-December 2006. Complete ophthalmic examination including ortho-optic assessment for all cases. Results: Patients age ranged 1 year to 20 years in this group of study, females were affected more than males with 2 to 1 ratio. Type 1 (esotropic) is the most common 80% of cases. Left eye was affected more than right eye. Bilateral in 13.3% of cases. DRS clinical picture varies widely, surgical intervention will not eliminate the abnormality but will lessen it. Two cases were operated upon to improve alignment in primary position. Medial rectus muscle was found too tight on forced-duction test surgery included bilateral medial rectus muscle recession. Conclusion: DRS picture varies widely, no treatment is available to eliminate the abnormalities but only to lessen them. The limitations in treatment are due to poor correction of ductions and versions. Also, up shoot, down shoot and enophthalmos correction is not complete.