Pseudo-Duane retraction syndrome after orbital myositis.
Journal
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
ISSN: 1528-3933
Titre abrégé: J AAPOS
Pays: United States
ID NLM: 9710011
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
received:
12
07
2020
revised:
26
08
2020
accepted:
29
11
2020
pubmed:
3
3
2021
medline:
27
8
2021
entrez:
2
3
2021
Statut:
ppublish
Résumé
Orbital myositis is a rare, commonly idiopathic, inflammatory condition that affects one or more extraocular muscles. We present a case of unilateral orbital myositis affecting the lateral rectus muscle presenting with gaze-evoked amaurosis, pain, and diplopia, with restrictive limitation of adduction. With improvement in adduction after initiating treatment, we noted narrowing of the palpebral fissure on attempted adduction, mimicking Duane retraction syndrome (DRS). Reported cases of "pseudo-DRS" are associated with multiple etiologies and are characterized by retraction on attempted abduction rather than adduction, as occurs in true DRS. In this case, pseudo-DRS occurred in the setting of idiopathic orbital inflammatory syndrome (orbital myositis) with a motility pattern more consistent with true DRS.
Identifiants
pubmed: 33652102
pii: S1091-8531(21)00045-8
doi: 10.1016/j.jaapos.2020.11.012
pmc: PMC8217196
mid: NIHMS1690496
pii:
doi:
Types de publication
Case Reports
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
121-123Subventions
Organisme : NEI NIH HHS
ID : K08 EY030164
Pays : United States
Informations de copyright
Copyright © 2021 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.
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