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7/26/2019 Duanes Syndrome (1)
1/12
Duanes Syndrome
G. Vike Vicente, MD
7/26/2019 Duanes Syndrome (1)
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Duanes Syndrome
ALL FORMS RETRACT ! ADD"CTO!# A$da Du$$a Deu%# Ty&e ' de(icit in a$duction and retraction in adduction
)due to co*contaction o( MR and LR# Ty&e ' de(icit in adduction
# Ty&e ' $ot+.
# atc+ (or stra$ismus, (ace turn' attitude# "sua--y s&oradic, a-so t+ink Go-den+ars, i-deranck
syndromes# OS more common t+an OD# Fema-es / ma-es# atc+ a-so (or ertica- &u--, -eas+in0 &+enomenom.# Occasiona- a$scent C! 1 nuc-eus.
G.Vicente
7/26/2019 Duanes Syndrome (1)
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Duanes Syndrome Ty&e ' OS
-imited a$duction,
retraction in adduction
G.Vicente
7/26/2019 Duanes Syndrome (1)
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Duanes Syndrome Ty&e
-imited a$duction,
retraction in adduction' su&erior ie2
notice co*contraction o( LMR 3 LLR
Dr. G.Vicente
OS OD
7/26/2019 Duanes Syndrome (1)
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Duanes Syndrome Ty&e
retraction in adduction -imited a$duction, su&erior ie2
OS OD
G.Vicente
7/26/2019 Duanes Syndrome (1)
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Duanes Syndrome Ty&e ' OS
-imited adduction
retraction in adduction
G.Vicente
7/26/2019 Duanes Syndrome (1)
7/12
Duanes Syndrome Ty&e ' OS
-imited adduction and a$duction
retraction in adduction
G.Vicente
7/26/2019 Duanes Syndrome (1)
8/12
Funny Story4
# 56 yo 2m
# 7ad attitude4
# ort+o48Ri0+t 0a9e,
Le(t (ace turn4
7/26/2019 Duanes Syndrome (1)
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Funny Story4
# 56 yo 2m
# 7ad attitude4
# ort+o48
# :;
7/26/2019 Duanes Syndrome (1)
10/12
Funny Story4
# 56 yo 2m
# 7ad attitude4
# ort+o48
# :;
7/26/2019 Duanes Syndrome (1)
11/12
Duanes Syndrome Ty&e ' OS
-imited a$duction,
retraction in adduction
G.Vicente
7/26/2019 Duanes Syndrome (1)
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Duanes treatment
# ( stra$ismus in 5ry &osition
= ET/>T
#Or si0ni(icant +ead turn' attitude.
# !eer resect LR i( no a$duction.
= T+is 2i-- 2orsen 0-o$e retraction and not
im&roe a$duction.
G Vicente