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Case Reports
. 2014 Sep 26:19:96.
doi: 10.11604/pamj.2014.19.96.4641. eCollection 2014.

Duane retraction syndrome in a Nigerian child

Olusola Oluyinka Olawoye  1 , Bolutife Ayokunnu Olusanya  1 , Aderonke Mojisola Baiyeroju  1
Affiliations
Case Reports

Duane retraction syndrome in a Nigerian child

Olusola Oluyinka Olawoye et al. Pan Afr Med J. .

Abstract

We report a case of a four year old Nigerian girl who presented to the paediatric unit of our eye clinic with complaints of a squint on looking to the right side and reduction in the size of the right eye when looking to the left. On examination, she had right exotropia in the primary position of gaze. There was limitation of abduction and widening of the palpebral fissure of the right eye on right gaze. On left gaze there was narrowing of the palpebral fissure of the right eye with marked limitation of adduction and an upshoot, or occasionally a downshoot, of the eyeball. This report demonstrates that Duane's syndrome occurs in West Africa. Therefore, detailed examination of all patients with squints is important to ensure accurate diagnosis and appropriate management of the patient's condition.

Keywords: Duane syndrome; West Africa; child; eye movement; squint.

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Figures

Figure 1
Figure 1
Right exotropia in primary gaze position
Figure 2
Figure 2
Limitation of abduction of the right eye with widening of the right palpebral fissure and full adduction of the left eye
Figure 3
Figure 3
Narrowing of the right palpebral fissure with limitation of adduction and an upshoot of the right eye
Figure 4
Figure 4
A down shoot of the right eye with limitation of adduction and narrowing of the palpebral fissure
See this image and copyright information in PMC

References

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