Further Insights into Developmental Errors Causing Duane’s Syndrome

  • Marylin T. Miller
  • Kerstin Stromland


EMG studies and a few autopsy cases have indicated that many cases of congenital Duane syndrome are due to a miswiring of the horizontal recti with abnormal innervation of the lateral rectus by a branch from the 3rd nerve. This produces co-contraction of the lateral and medial rectus in attempted adduction resulting in retraction of the globe. This unique type of strabismus raises many questions on the timing, location, and specificity of the error in development of innervation.

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© Macmillan Publishers Limited 1990

Authors and Affiliations

  • Marylin T. Miller
  • Kerstin Stromland

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