I have two children diagnosed with Duaine's Syndrome. I understand that this condition involves the misplacement of the muscles that control eye movement. Can you tell me more?
Answer
Duane's Syndrome is a congenital abnormality involving the innervation of the eye muscles. It most commonly occurs as an isolated event. It affects girls more than boys and the left eye more often than the right eye. Most commonly the eye does not turn out well (Type I), next most common is the condition where the eye does not move in or out (Type III), and last is the condition there the eye does not move in (Type II). Surgery is recommmended when the eyes are crossed or when the person has to turn the head significantly in order to fuse the two eyes and eliminate double vision. The syndrome is caused by poor development of one of the nerves that controls eye movement. Fortunately, most children do very well. Most children do not require surgery. This condition does require regular monitoring of the vision by an experienced ophthalmologist to make sure the child is not developing a lazy eye.
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