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Duanes Syndrome

G. Vike Vicente, MD

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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

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Duanes Syndrome Ty&e ' OS

-imited a$duction,

retraction in adduction

G.Vicente

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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

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Duanes Syndrome Ty&e

retraction in adduction -imited a$duction, su&erior ie2

OS OD

G.Vicente

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Duanes Syndrome Ty&e ' OS

-imited adduction

retraction in adduction

G.Vicente

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Duanes Syndrome Ty&e ' OS

-imited adduction and a$duction

retraction in adduction

G.Vicente

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Funny Story4

# 56 yo 2m

# 7ad attitude4

# ort+o48Ri0+t 0a9e,

Le(t (ace turn4

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Funny Story4

# 56 yo 2m

# 7ad attitude4

# ort+o48

# :;

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Funny Story4

# 56 yo 2m

# 7ad attitude4

# ort+o48

# :;

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Duanes Syndrome Ty&e ' OS

-imited a$duction,

retraction in adduction

G.Vicente

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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