Child with Crossed Eyes Since Infancy: Do I Image? Do I Operate? (Slides)

Duane retraction syndrome, or Duane syndrome (DS), is a common congenital ocular movement disorder characterized by absent lateral rectus innervation by the abducens nerve, along with aberrant innervation to the lateral rectus from oculomotor nerve branches. This anomalous innervation results in unique clinical findings that differentiate it from other forms of strabismus and ocular misalignment. Most cases are sporadic, unilateral, and more frequently occur in females (60%) and left eyes (58-72%). Although DS generally presents as an isolated disorder, associated ocular and systemic findings can be seen in approximately 33% of cases.