DOI: 10.36347/sjams.2013.v01i04.010

Pages: 262-264

Type III Duane’s retraction syndrome (DRS) is a rare condition and represents only 1% of all cases of Duane’s syndrome. It consists of limited/absent abduction as well as adduction of the affected eye. A characteristic upshoot/downshoot/both, in adduction, and globe retraction may occur in DRS patients. Secondary muscle changes like medial rectus contracture or superior rectus contracture may rarely be associated with DRS. Superior rectus contracture syndromehas been reported in patients with unilateral superior oblique palsy and dissociated vertical deviation(DVD).However, no case report of association of SRC with DRS has been reported. We report a rare case of type III DRS with severe upshoot and ipsilateral superior rectus contracture. It is hypothesized that a long standing severe upshoot could be the reason for development of secondary superior rectus contracture. The upshoot was treated with Y-split of lateral rectus and hypertropia was corrected by superior rectus recession.