Type IV Duane Syndrome

dc.contributor.authorSchliesser, Joshua A.
dc.contributor.authorSprunger, Derek T.
dc.contributor.authorHelveston, Eugene M.
dc.contributor.departmentDepartment of Ophthalmology, IU School of Medicineen_US
dc.date.accessioned2017-06-21T17:12:45Z
dc.date.available2017-06-21T17:12:45Z
dc.date.issued2016-08
dc.description.abstractPurpose To identify cases of synergistic divergence whose characteristics suggest that this entity is a form of Duane syndrome. Methods The records of all patients with a Duane syndrome diagnosis, including standardized eye position photographs, from the E-Consultation program of Cybersight, Orbis International were analyzed. Results A total of 350 Duane syndrome cases were identified. Of these, 19 (5%) had features consistent with synergistic divergence, or type 4 Duane syndrome. Of the 19, 16 (84%) were male, 15 (79%) had palpebral fissure narrowing, all had anomalous head posture, and 18 (95%) were exotropic. Only 9 (47%) patients were reported to have undergone surgery. Conclusions Synergistic divergence is a rare entity with features similar to those of Duane syndrome. We suggest that this entity be classified as type 4 Duane syndrome, because it has unique findings and an innervation pattern that differs from the other 3 recognized types.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationSchliesser, J. A., Sprunger, D. T., & Helveston, E. M. (2016). Type 4 Duane syndrome. Journal of American Association for Pediatric Ophthalmology and Strabismus, 20(4), 301–304. https://doi.org/10.1016/j.jaapos.2016.05.012en_US
dc.identifier.urihttps://hdl.handle.net/1805/13142
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.isversionof10.1016/j.jaapos.2016.05.012en_US
dc.relation.journalJournal of American Association for Pediatric Ophthalmology and Strabismusen_US
dc.rightsPublisher Policyen_US
dc.sourceAuthoren_US
dc.subjectDuane Syndromeen_US
dc.subjectsynergistic divergenceen_US
dc.titleType IV Duane Syndromeen_US
dc.typeArticleen_US
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