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CASE REPORT
Year : 2014  |  Volume : 7  |  Issue : 3  |  Page : 135-137

Bilateral familial vertical Duane Syndrome with synergistic convergence, aberrant trigeminal innervation, and facial hypoplasia


Department of Ophthalmology, Dr. Ram ManoharLohia Hospital, New Delhi, India

Correspondence Address:
Malvika Gupta
123/105 Bridge Road, Westmead, NSW-2145, Australia

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.142596

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A 5-year-old girl presented with bilateral familial vertical  Duane retraction syndrome with alternating esotropia, elevation deficit, Marcus gunn phenomenon, and facial hypoplasia. Abnormal adducting downshoots on attempting abduction suggestive of a synergistic convergence were noted. Hypothesis suggests aberrant innervations or peripheral anatomic connections between inferior and medial recti.


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