CORRECTION OF ABNORMAL HEAD POSTURE IN PATIENTS OF DUANEʹS SYNDROME FOLLOWING HORIZONTAL MUSCLE RECESSION

Objective:- To determine outcome of horizontal muscle recession in patients with Duaneʹs syndrome.Material and Methods:- This prospective study was conducted at Khyber Teaching Hospital Peshawar; from 1st Jan 2003 to 30th April 2005. A total of 20 patients of Duaneʹs syndrome were identified and were followed-up for 40 days. A separate performa was used for every patient, which included detailed history, preoperative assessment and postoperative follow-up.Results:- Out of 20 patients 15 were female and 5 were male. Their ages ranged between 5-25 years. Horizontal rectus recession was performed on all of them. The postoperative ocular alignment was between 4-8°. The abnormal head posture was found to be normal after surgery.Conclusion:- Unilateral or bilateral horizontal rectus recession offers a simple and effective surgical option for elimination of abnormal head posture and is our treatment of choice in patients with Duaneʹs syndrome.