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Diseases

Genetic and Rare Diseases Information Center (GARD)

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Duane syndrome


Other Names for this Disease
  • DRS
  • Duane anomaly
  • Duane retraction syndrome
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Treatment


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How might Duane syndrome be treated?

The treatment of Duane syndrome may involve surgery. The goal of surgery is to eliminate or improve head turn, eliminate or reduce significant misalignment of the eyes, reduce severe retraction (when they eyeball pulls into the socket as the eye moves toward the nose), and improve upshoots and downshoots (when the eye deviates upward or downward with certain eye movements). No specific surgical technique has been completely successful in eliminating the abnormal eye movements. However, some procedures, used either alone or in combination, may be successful in improving or eliminating head turns and misalignment of the eyes. The choice of procedure varies among affected individuals. The success rate for surgery in eliminating an abnormal head position is estimated to be 79-100%.[1]

The management of Duane syndrome without surgery may include:[1]
  • special seating in school to accommodate a child's head turn
  • special rear-view mirrors to help during driving
  • a prism placed on the individual's glasses to correct for the face turn (though this is not commonly used)
  • vision therapy to treat secondary convergence insufficiency (inability of the eyes to turn towards each other or sustain this position)

More detailed information about the treatment of Duane syndrome is available on Medscape Reference's Web site and can be viewed here. You may need to register to view this information, but registration is free.

Last updated: 2/27/2013

References
  1. Arun Verma. Duane Syndrome. Medscape Reference. November 17, 2011; http://emedicine.medscape.com/article/1198559-overview. Accessed 2/22/2013.


Management Guidelines

  • GeneReviews provides current, expert-authored, peer-reviewed, full-text articles describing the application of genetic testing to the diagnosis, management, and genetic counseling of patients with specific inherited conditions. Click on the link to view the article on this topic.