Complications of augmented superior rectus transposition in Duane syndrome | Archivos de la Sociedad Española de Oftalmología (English Edition)

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Merino, P. Gómez de Liaño, Y. Ah Kim" "autores" => array:3 [ 0 => array:4 [ "nombre" => "P." "apellidos" => "Merino" "email" => array:1 [ 0 => "pilimerino@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Gómez de Liaño" ] 2 => array:2 [ "nombre" => "Y." "apellidos" => "Ah Kim" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Motilidad Ocular y Neuro-Oftalmología, Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Complicaciones de la transposición aumentada de recto superior en el síndrome de Duane" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 390 "Ancho" => 950 "Tamanyo" => 76619 ] ] "descripcion" => array:1 [ "en" => "Day 1 post-TRS to LR+MR resection surgery: no torticollis, 10dp endotropia and 8dp RE hypertropia." ] ] ] "textoCompleto" => "IntroductionThe Duane syndrome (DS) is a cranial denervation congenital anomaly<a class="elsevierStyleCrossRef" href="#bib0050">1</a> (VI nerve agenesis and aberrant innervation of the lateral rectus [LR] through the III), characterized by ocular globe retraction and/or diminished palpebral slits in adduction as well as limitation in adduction, abduction or both.<a class="elsevierStyleCrossRef" href="#bib0055">2</a>Surgery is indicated in the presence of torticollis, primary position strabismus, ocular retraction and/or severe vertical shots. There are several surgical approaches for DS with endotropia, including uni- or bilateral middle rectus (MR) recession, transposition of vertical rectus (TVR), retroinsertion of MR and LR of the affected eye and retroinsertion of MR with small LR resection.<a class="elsevierStyleCrossRefs" href="#bib0060">3–5</a> In 2006, TRS of LR was described, with or without retroinsertion of the ipsilateral MR (Johnston SC, et al. IOVS 2006;47:ARVO e-abstract 2475), without significant vertical and torsional deviation and with lower risk of anterior segment ischemia.The objective of this paper is to report the complications observed in a DS patient, intervened with the TRS to LR of the affected eye, associated to the resection of the ipsilateral MR.Clinic case reportMale, 71, with right side torticollis and right eye (RE) endotropia since childhood. No trauma or other relevant history was referred and the patient did not exhibit systemic disease. RE visual acuity was 20/40 and left eye (LE) acuity of 20/20. Slitlamp examination revealed nuclear cataract in the RE and pseudophakia in the LE. IOP and ocular fundus examination were normal. Motor examination showed 35dp far endotropia and 30dp near endotropia for the RE, grade 3 RE abduction limitation (the eye did not reach the middle line), with diminished slit in adduction and severe right side torticollis (20°) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). No limitations were found in adduction or signs of LR co-contraction. The Worth test revealed RE suppression with red glass: no vertical deviation, Maddox: no subjective torsion, retinography: slight RE incyclotorsion (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The RE forced duction test was highly positive to abduction due to significant MR contraction. The patient was diagnosed with Duane syndrome, performing TRS to LR enhanced with scleral fixation, associated to MR resection with adjustable suture under topical anesthesia and sedation, leaving the MR 5mm from its insertion.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia>The following day the patient referred vertical and torsional diplopia. Examination revealed resolution of torticollis, abduction improvement (grade 2), normal adduction, 10dp RE endotropia, 8dp right hypertropia (Ht) (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>), 15° subjective incyclotorsion of the RE and increased objective incyclotorsion (<a class="elsevierStyleCrossRef" href="#fig0020">Fig. 4</a>).<elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia>Fifteen days later, diplopia persisted together with 12dp right Ht and 5° subjective incyclotorsion. At week 4 due to persistence of diplopia and right Ht surgery was performed under general anesthesia, withdrawing the scleral fixation point and performing 2mm retroinsertion of the superior rectus (SR) in relation to the new insertion after performing the forced duction test that was positive for infraduction. The superior oblique was explored and found to be anteriorly displaced. Accordingly it was moved to its original path. The following day the patient did not refer diplopia, 4dp right Ht and RE 5° subjective incyclotorsion (<a class="elsevierStyleCrossRef" href="#fig0025">Fig. 5</a>). Retinograph revealed incyclotorsion resolution (<a class="elsevierStyleCrossRef" href="#fig0030">Fig. 6</a>). The patient remained stable one month after surgery.<elsevierMultimedia ident="fig0025"></elsevierMultimedia><elsevierMultimedia ident="fig0030"></elsevierMultimedia>DiscussionHorizontal rectus surgery has demonstrated adequate correction of primary gaze deviation and torticollis in DS.<a class="elsevierStyleCrossRef" href="#bib0060">3</a> Studies available to date maintain that TRS is equally efficient with the added advantage of improved adduction preservation, improving abduction and enhancing the binocular vision field. Surprisingly, the prevalence of vertical or torsional deviation secondary to TRS is low.<a class="elsevierStyleCrossRefs" href="#bib0075">6–9</a> According to the few publications found in the literature, the low incidence of consecutive hypotropia that should occur when displacing the RS to the LR should be due to respecting the Tillaux spiral, which would also involve a slight forward displacement of the RD that offsets the induced vertical weakening.<a class="elsevierStyleCrossRefs" href="#bib0075">6,7</a> According to some authors, TRS to LR could cause incyclotorsion, for which reason it is convenient to follow-up the objective as well as subjective incyclotorsion before and after surgery, as pre-surgery objective excyclotorsion or the absence thereof would constitute better conditions for obtaining improved, complication-free results.<a class="elsevierStyleCrossRef" href="#bib0090">9</a> MR contraction and endotropia above 15dp make it recommendable to associate resection thereof.The low amount of publications on TRS to LR with small numbers of patients advises caution on the interpretation of its indications and results. Even though the described technique is an alternative to horizontal rectus surgery and present lower risk of anterior segment ischemia when compared to TVR,<a class="elsevierStyleCrossRefs" href="#bib0060">3,4</a> secondary vertical deviation and torsional complications should be taken into account when indicating said surgery technique.FundingThe authors state that they have not received funding for this paper.Conflict of interestsNo conflict of interests was declared by the authors." "textoCompletoSecciones" => array:1 [ "secciones" => array:10 [ 0 => array:3 [ "identificador" => "xres818606" "titulo" => "Abstract" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Clinical case" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Discussion" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec815654" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres818607" "titulo" => "Resumen" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "abst0015" "titulo" => "Caso clínico" ] 1 => array:2 [ "identificador" => "abst0020" "titulo" => "Discusión" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec815655" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Clinic case report" ] 6 => array:2 [ "identificador" => "sec0015" "titulo" => "Discussion" ] 7 => array:2 [ "identificador" => "sec0020" "titulo" => "Funding" ] 8 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflict of interests" ] 9 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-05-05" "fechaAceptado" => "2016-07-08" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec815654" "palabras" => array:5 [ 0 => "Incyclotorsion" 1 => "Anterior segment ischemia" 2 => "Medial rectus recession" 3 => "Duane syndrome" 4 => "Augmented superior rectus transposition" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec815655" "palabras" => array:5 [ 0 => "Inciclotorsión" 1 => "Isquemia de segmento anterior" 2 => "Recesión del recto medio" 3 => "Síndrome de Duane" 4 => "Transposición aumentada de recto superior" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "Clinical caseA patient diagnosed with Duane syndrome underwent an augmented superior rectus transposition (SRT) to lateral rectus (LR) and medial rectus (MR) recession. Vertical, torsional deviation and diplopia were observed post-operatively. Removal of the Foster suture and superior rectus recession resolved the symptoms. DiscussionSRT to LR is proposed in Duane syndrome with a favorable outcome. The benefit of SRT is open to debate. It could be an alternative for the vertical rectus transposition when MR recession has to be operated on in the same procedure, or in the immediate post-operative period, in order to decrease the risk of anterior segment ischemia." "secciones" => array:2 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Clinical case" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Discussion" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "Caso clínicoPaciente con síndrome de Duane, operado con transposición aumentada de recto superior (TRS) al recto lateral (RL), y recesión del recto medio (RM). En el postoperatorio se observó desviación vertical, torsional y diplopía. La retirada de la fijación escleral y la recesión del RS lo resolvieron. DiscusiónLa TRS al RL está descrita en el tratamiento del síndrome de Duane con resultados controvertidos. Puede ser una alternativa a la transposición de los rectos verticales cuando asocia la recesión del RM en el mismo procedimiento, o en el postoperatorio inmediato para disminuir el riesgo de isquemia del segmento anterior." "secciones" => array:2 [ 0 => array:2 [ "identificador" => "abst0015" "titulo" => "Caso clínico" ] 1 => array:2 [ "identificador" => "abst0020" "titulo" => "Discusión" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Merino P, Gómez de Liaño P, Ah Kim Y. Complicaciones de la transposición aumentada de recto superior en el síndrome de Duane. Arch Soc Esp Oftalmol. 2017;92:175–177." ] ] "multimedia" => array:6 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 457 "Ancho" => 950 "Tamanyo" => 66168 ] ] "descripcion" => array:1 [ "en" => "Patient with Duane syndrome in RE. In dextroversion, the RE does not reach the middle line due to significant RM contraction." ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 625 "Ancho" => 900 "Tamanyo" => 40831 ] ] "descripcion" => array:1 [ "en" => "Presurgery RE retinography showing slight incyclotorsion." ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 390 "Ancho" => 950 "Tamanyo" => 76619 ] ] "descripcion" => array:1 [ "en" => "Day 1 post-TRS to LR+MR resection surgery: no torticollis, 10dp endotropia and 8dp RE hypertropia." ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Fig. 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 635 "Ancho" => 900 "Tamanyo" => 63485 ] ] "descripcion" => array:1 [ "en" => "Post-surgery is read retinograph showing significant incyclotorsion." ] ] 4 => array:7 [ "identificador" => "fig0025" "etiqueta" => "Fig. 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 297 "Ancho" => 950 "Tamanyo" => 48824 ] ] "descripcion" => array:1 [ "en" => "Frontal gaze and fixing with RE: after withdrawing the Foster dot and resection of RE RS, the patient exhibited 4dp right hypertropia without worsening of abduction and endotropia." ] ] 5 => array:7 [ "identificador" => "fig0030" "etiqueta" => "Fig. 6" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr6.jpeg" "Alto" => 675 "Ancho" => 900 "Tamanyo" => 93597 ] ] "descripcion" => array:1 [ "en" => "RE retinograph. 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Complications of augmented superior rectus transposition in Duane syndrome

Complicaciones de la transposición aumentada de recto superior en el síndrome de Duane

P. Merino

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pilimerino@gmail.com

Corresponding author.

, P. Gómez de Liaño, Y. Ah Kim

Sección de Motilidad Ocular y Neuro-Oftalmología, Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, Spain

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            "entidad" => "Secci&#243;n de Motilidad Ocular y Neuro-Oftalmolog&#237;a&#44; Departamento de Oftalmolog&#237;a&#44; Hospital General Universitario Gregorio Mara&#241;&#243;n&#44; Madrid&#44; Spain"
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        "titulo" => "Complicaciones de la transposici&#243;n aumentada de recto superior en el s&#237;ndrome de Duane"
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          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Day 1 post-TRS to LR<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>MR resection surgery&#58; no torticollis&#44; 10<span class="elsevierStyleHsp" style=""></span>dp endotropia and 8<span class="elsevierStyleHsp" style=""></span>dp RE hypertropia&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The Duane syndrome &#40;DS&#41; is a cranial denervation congenital anomaly<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">1</span></a> &#40;VI nerve agenesis and aberrant innervation of the lateral rectus &#91;LR&#93; through the III&#41;&#44; characterized by ocular globe retraction and&#47;or diminished palpebral slits in adduction as well as limitation in adduction&#44; abduction or both&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Surgery is indicated in the presence of torticollis&#44; primary position strabismus&#44; ocular retraction and&#47;or severe vertical shots&#46; There are several surgical approaches for DS with endotropia&#44; including uni- or bilateral middle rectus &#40;MR&#41; recession&#44; transposition of vertical rectus &#40;TVR&#41;&#44; retroinsertion of MR and LR of the affected eye and retroinsertion of MR with small LR resection&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">3&#8211;5</span></a> In 2006&#44; TRS of LR was described&#44; with or without retroinsertion of the ipsilateral MR &#40;Johnston SC&#44; et al&#46; IOVS 2006&#59;47&#58;ARVO e-abstract 2475&#41;&#44; without significant vertical and torsional deviation and with lower risk of anterior segment ischemia&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The objective of this paper is to report the complications observed in a DS patient&#44; intervened with the TRS to LR of the affected eye&#44; associated to the resection of the ipsilateral MR&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Clinic case report</span><p id="par0020" class="elsevierStylePara elsevierViewall">Male&#44; 71&#44; with right side torticollis and right eye &#40;RE&#41; endotropia since childhood&#46; No trauma or other relevant history was referred and the patient did not exhibit systemic disease&#46; RE visual acuity was 20&#47;40 and left eye &#40;LE&#41; acuity of 20&#47;20&#46; Slitlamp examination revealed nuclear cataract in the RE and pseudophakia in the LE&#46; IOP and ocular fundus examination were normal&#46; Motor examination showed 35<span class="elsevierStyleHsp" style=""></span>dp far endotropia and 30<span class="elsevierStyleHsp" style=""></span>dp near endotropia for the RE&#44; grade 3 RE abduction limitation &#40;the eye did not reach the middle line&#41;&#44; with diminished slit in adduction and severe right side torticollis &#40;20&#176;&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; No limitations were found in adduction or signs of LR co-contraction&#46; The Worth test revealed RE suppression with red glass&#58; no vertical deviation&#44; Maddox&#58; no subjective torsion&#44; retinography&#58; slight RE incyclotorsion &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; The RE forced duction test was highly positive to abduction due to significant MR contraction&#46; The patient was diagnosed with Duane syndrome&#44; performing TRS to LR enhanced with scleral fixation&#44; associated to MR resection with adjustable suture under topical anesthesia and sedation&#44; leaving the MR 5<span class="elsevierStyleHsp" style=""></span>mm from its insertion&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The following day the patient referred vertical and torsional diplopia&#46; Examination revealed resolution of torticollis&#44; abduction improvement &#40;grade 2&#41;&#44; normal adduction&#44; 10<span class="elsevierStyleHsp" style=""></span>dp RE endotropia&#44; 8<span class="elsevierStyleHsp" style=""></span>dp right hypertropia &#40;Ht&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#44; 15&#176; subjective incyclotorsion of the RE and increased objective incyclotorsion &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">Fifteen days later&#44; diplopia persisted together with 12<span class="elsevierStyleHsp" style=""></span>dp right Ht and 5&#176; subjective incyclotorsion&#46; At week 4 due to persistence of diplopia and right Ht surgery was performed under general anesthesia&#44; withdrawing the scleral fixation point and performing 2<span class="elsevierStyleHsp" style=""></span>mm retroinsertion of the superior rectus &#40;SR&#41; in relation to the new insertion after performing the forced duction test that was positive for infraduction&#46; The superior oblique was explored and found to be anteriorly displaced&#46; Accordingly it was moved to its original path&#46; The following day the patient did not refer diplopia&#44; 4<span class="elsevierStyleHsp" style=""></span>dp right Ht and RE 5&#176; subjective incyclotorsion &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>&#41;&#46; Retinograph revealed incyclotorsion resolution &#40;<a class="elsevierStyleCrossRef" href="#fig0030">Fig&#46; 6</a>&#41;&#46; The patient remained stable one month after surgery&#46;</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><elsevierMultimedia ident="fig0030"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Discussion</span><p id="par0035" class="elsevierStylePara elsevierViewall">Horizontal rectus surgery has demonstrated adequate correction of primary gaze deviation and torticollis in DS&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">3</span></a> Studies available to date maintain that TRS is equally efficient with the added advantage of improved adduction preservation&#44; improving abduction and enhancing the binocular vision field&#46; Surprisingly&#44; the prevalence of vertical or torsional deviation secondary to TRS is low&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">6&#8211;9</span></a> According to the few publications found in the literature&#44; the low incidence of consecutive hypotropia that should occur when displacing the RS to the LR should be due to respecting the Tillaux spiral&#44; which would also involve a slight forward displacement of the RD that offsets the induced vertical weakening&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">6&#44;7</span></a> According to some authors&#44; TRS to LR could cause incyclotorsion&#44; for which reason it is convenient to follow-up the objective as well as subjective incyclotorsion before and after surgery&#44; as pre-surgery objective excyclotorsion or the absence thereof would constitute better conditions for obtaining improved&#44; complication-free results&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">9</span></a> MR contraction and endotropia above 15<span class="elsevierStyleHsp" style=""></span>dp make it recommendable to associate resection thereof&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The low amount of publications on TRS to LR with small numbers of patients advises caution on the interpretation of its indications and results&#46; Even though the described technique is an alternative to horizontal rectus surgery and present lower risk of anterior segment ischemia when compared to TVR&#44;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">3&#44;4</span></a> secondary vertical deviation and torsional complications should be taken into account when indicating said surgery technique&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Funding</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors state that they have not received funding for this paper&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Conflict of interests</span><p id="par0050" class="elsevierStylePara elsevierViewall">No conflict of interests was declared by the authors&#46;</p></span></span>"
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    "fechaRecibido" => "2016-05-05"
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          "clase" => "keyword"
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            0 => "Incyclotorsion"
            1 => "Anterior segment ischemia"
            2 => "Medial rectus recession"
            3 => "Duane syndrome"
            4 => "Augmented superior rectus transposition"
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            0 => "Inciclotorsi&#243;n"
            1 => "Isquemia de segmento anterior"
            2 => "Recesi&#243;n del recto medio"
            3 => "S&#237;ndrome de Duane"
            4 => "Transposici&#243;n aumentada de recto superior"
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      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Clinical case</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A patient diagnosed with Duane syndrome underwent an augmented superior rectus transposition &#40;SRT&#41; to lateral rectus &#40;LR&#41; and medial rectus &#40;MR&#41; recession&#46; Vertical&#44; torsional deviation and diplopia were observed post-operatively&#46; Removal of the Foster suture and superior rectus recession resolved the symptoms&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Discussion</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">SRT to LR is proposed in Duane syndrome with a favorable outcome&#46; The benefit of SRT is open to debate&#46; It could be an alternative for the vertical rectus transposition when MR recession has to be operated on in the same procedure&#44; or in the immediate post-operative period&#44; in order to decrease the risk of anterior segment ischemia&#46;</p></span>"
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        "resumen" => "<span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Caso cl&#237;nico</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Paciente con s&#237;ndrome de Duane&#44; operado con transposici&#243;n aumentada de recto superior &#40;TRS&#41; al recto lateral &#40;RL&#41;&#44; y recesi&#243;n del recto medio &#40;RM&#41;&#46; En el postoperatorio se observ&#243; desviaci&#243;n vertical&#44; torsional y diplop&#237;a&#46; La retirada de la fijaci&#243;n escleral y la recesi&#243;n del RS lo resolvieron&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Discusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La TRS al RL est&#225; descrita en el tratamiento del s&#237;ndrome de Duane con resultados controvertidos&#46; Puede ser una alternativa a la transposici&#243;n de los rectos verticales cuando asocia la recesi&#243;n del RM en el mismo procedimiento&#44; o en el postoperatorio inmediato para disminuir el riesgo de isquemia del segmento anterior&#46;</p></span>"
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                      "titulo" => "Congenital abnormalities of cranial nerve development&#58; overview&#44; molecular mechanism&#44; and further evidence of heterogeneity and complexity of syndromes with congenital limitation of eye movements"
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                        0 => array:2 [
                          "etal" => false
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                        "tituloSerie" => "Trans Am Ophthalmol Soc"
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                        "paginaFinal" => "389"
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                0 => array:2 [
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                      "titulo" => "Duane retraction syndrome"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "G&#46; Alexandrakis"
                            1 => "R&#46;A&#46; Saunders"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Ophthalmol Clin North Am"
                        "fecha" => "2001"
                        "volumen" => "14"
                        "paginaInicial" => "407"
                        "paginaFinal" => "417"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11705140"
                            "web" => "Medline"
                          ]
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                          "pii" => "S0735109716324044"
                          "estado" => "S300"
                          "issn" => "07351097"
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              "identificador" => "bib0060"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Horizontal rectus surgery in Duane syndrome"
                      "autores" => array:1 [
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                            0 => "P&#46; Merino"
                            1 => "M&#46; Merino"
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                    0 => array:2 [
                      "doi" => "10.5301/ejo.5000002"
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                        "tituloSerie" => "Eur J Ophthalmol"
                        "fecha" => "2012"
                        "volumen" => "22"
                        "paginaInicial" => "125"
                        "paginaFinal" => "130"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21725942"
                            "web" => "Medline"
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                    ]
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                            0 => "M&#46;E&#46; Barbe"
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                            2 => "P&#46;J&#46; Kutschke"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Ophthalmol"
                        "fecha" => "2004"
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                        "paginaInicial" => "131"
                        "paginaFinal" => "138"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14693790"
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                      "titulo" => "Vertical rectus muscle augmented transposition in Duane syndrome"
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                        ]
                      ]
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                        "volumen" => "5"
                        "paginaInicial" => "105"
                        "paginaFinal" => "113"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11304819"
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                          "etal" => false
                          "autores" => array:4 [
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                            2 => "L&#46;R&#46; Dagi"
                            3 => "D&#46;G&#46; Hunter"
                          ]
                        ]
                      ]
                    ]
                  ]
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                        "fecha" => "2014"
                        "volumen" => "132"
                        "paginaInicial" => "669"
                        "paginaFinal" => "675"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24763870"
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                      "titulo" => "Superior rectus transposition and medial rectus recession for Duane syndrome and sixth nerve palsy"
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                        ]
                      ]
                    ]
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                    0 => array:2 [
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                        "tituloSerie" => "Arch Ophthalmol"
                        "fecha" => "2012"
                        "volumen" => "130"
                        "paginaInicial" => "195"
                        "paginaFinal" => "201"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22332212"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
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                            2 => "M&#46; Ali"
                            3 => "R&#46; Kekunnaya"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1016/j.jaapos.2015.02.006"
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                        "tituloSerie" => "J AAPOS"
                        "fecha" => "2015"
                        "volumen" => "19"
                        "paginaInicial" => "199"
                        "paginaFinal" => "205"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26059662"
                            "web" => "Medline"
                          ]
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                ]
              ]
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                    0 => array:2 [
                      "titulo" => "Assessment of torsion after superior rectus transposition with or without medial rectus recession for Duane syndrome and abducens nerve palsy"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
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                            2 => "S&#46;J&#46; Isenberg"
                            3 => "S&#46;L&#46; Pineles"
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                        "link" => array:1 [
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