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CASE REPORT
Year : 2012  |  Volume : 2  |  Issue : 2  |  Page : 73-74

Duane’s retraction syndrome associated with crocodile tears and hearing loss


Department of Ophthalmology, Taipei City Hospital, RenAi Branch, 2F., Number 10, Section 4, Ren’ai Road, Da’an District, Taipei City 106, Taiwan, ROC

Correspondence Address:
Shiow-Wen Liou
Department of Ophthalmology, Taipei City Hospital, RenAi Branch, 2F., Number 10, Section 4, Ren’ai Road, Da’an District, Taipei City 106, Taiwan
ROC
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.tjo.2011.12.004

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Duane’s retraction syndrome (DRS) is a predominately congenital eye movement disorder. We present a 23-year-old female with unilateral DRS, which was diagnosed by magnetic resonance imaging (MRI), and associated symptoms of unilateral crocodile tears and bilateral high-frequency hearing loss. This case highlights that DRS may be associated with various systemic malformations. For children with newly diagnosed DRS, we recommend comprehensive evaluation for any associated abnormalities. For adults with DRS complaining of discomfiture associated with a noncentral head position, we suggest a complete examination, including strabismus tests, the forced duction test, and even MRI, to evaluate the degree of muscle modification and to identify the most suitable treatment strategy.


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