Optometric Vision Therapy in the Management of Amblyopia Associated with DRS-Type II: A Case Report.

Background: Duane retraction syndrome (DRS) is a congenital anomaly of the sixth cranial nerve and nucleus, resulting in limited abduction and/ or adduction of the affected eye and globe retraction and narrowing of the palpebral fissure on adduction. Management to restore full- fledged ocular motili...

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Publicado en:Optometry & Visual Performance Vol. 10; no. 1; pp. 26 - 31
Autores principales: Dahal, Manish, Shyangbo, Ranjila, Kaiti, Raju
Formato: case study pictorial tables/charts Journal Article
Publicado: Optometric Extension Program Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2022
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Optometric Vision Therapy in the Management of Amblyopia Associated with DRS-Type II: A Case Report.
      aug:
        au:
          Dahal, Manish
          Shyangbo, Ranjila
          Kaiti, Raju
        affil: Nepal Eye Hospital, Kathmandu, Nepal
      sug:
        subj:
          Vision Disorders Therapy
          Amblyopia Therapy
          Duane Retraction Syndrome Complications
          Amblyopia Risk Factors
          Male
          Child
          Optometry
          Treatment Outcomes
          Rare Diseases
          Child: 6-12 years
          Male
      ab: Background: Duane retraction syndrome (DRS) is a congenital anomaly of the sixth cranial nerve and nucleus, resulting in limited abduction and/ or adduction of the affected eye and globe retraction and narrowing of the palpebral fissure on adduction. Management to restore full- fledged ocular motility has been elusive. Case Report: An 8-year-old male, RK, visited our clinic with the complaint of outward deviation of the left eye, headache, and asthenopic symptoms. Upon examination, he was diagnosed with DRS-Type II with amblyopia. Vision therapy was started, which lasted for 3 months. A post-vision therapy binocular vision assessment showed marked improvement of visual acuity and other binocular parameters despite the presence of adduction limitations. Conclusion: Symptomatic patients with DRS may have amblyopia with compromised binocular vision functions. Optometric vision therapy must be considered as a first-line treatment, which helps patients to improve oculomotor control (saccades and pursuits), accommodative and vergence skills, stereopsis, visual-motor skill, and spatial processing.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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