Duane’s Ophthalmology Pdf Free 14
the style of case discussion was similar to medsim text at the time, and was pretty interesting. they did a really good job of linking the pathophysiology to the anatomy of the eye, which would be easy to forget if not explained clearly.
from an educational point of view, there is a lot to like about the osce. it is well laid out and easy to navigate. i liked the table headings, and many of the questions included, which made it really easy to understand how to react or plan for each case. the pediatrician, dr. peters, didn’t answer many of the questions when i took it, so i think it would be beneficial to use a test prep coach with this.
i really liked the fact that the quizzes were in three sections. this helped me remember the anatomy easier. i also liked that the flashcards in the quiz helped me visualize the anatomy as i was reading about it, and helped me memorize the medical terms.
creating a free text (or as much of one as possible) notebook where you can keep all of your ds info is a great way to make the most of your knowledge. going through the diagnostic and treatment section is super helpful as well.
one more handy service would be a wiki. i like being able to put things i learn on my own in a public location (like it is in the case of wikipedia). there are some basic wikis online that are free, and some powerful wikis that can be used as a cost effective addition to your wiki.
in terms of actual images of the eyes, i liked the section on those with duane retraction syndrome because it was easy to get to information regarding what the various types of duane presentation were, and the section on treatment of duane retraction syndrome that listed the top 3 treatments, which i thought was nice. for information about the anatomy of the eye, the section on anatomy was useful. very nice web page.
Sutherland and Ruiz-del Valle, 2014 A total of 30 patients affected with Duane’s syndrome underwent unilateral and bilateral vertical rectus muscle surgery. The mean age was 14.3 months (range 3 to 58 months). The outcome was satisfactory in 25 patients. Two patients had an esotropia of 10 and 26 delta, respectively. In these patients, the vertical rectus muscle was split to release the muscle and its tendon from the sclera, and tendon reinsertion was done through a transposition of 4-5 mm of the tendinous tissue to bring the muscle closer to the corneal limbus. In one patient, the outcome was poor as he developed a 15 delta esotropia after surgery. The surgeons preferred this technique of vertical rectus muscle release to the bilateral Tenon’s capsule release as, according to them, it is significantly easier to achieve conjunctival insertions and provides a more consistent muscle length and tension than the technique with direct Tenon’s capsule releases. The surgical outcomes in these two groups were compared.
In our study, Duane’s syndrome is characterized by typical clinical presentation of spontaneous nystagmus with face turning, and frequent impairment of abduction. It is commonly accompanied by esotropia in the primary position, more often without other strabismus. Complete vertical rectus muscle transposition is the preferred surgical procedure performed in all patients. Additional medial rectus recession is usually needed in addition to the transposition. The patients were followed for a mean of 6.1 years postoperatively.
Conversely, hypermetropia (SE ≥ +3.00DS) in DU-CS was discovered in 7 (24.1%) of 29 patients. Thus, the outcome of Duane’s syndrome could be more favorable for a child with hypermetropia than for children with emmetropia or myopia. Reaching a target spherical equivalent of more than +3.00DS requires meticulous, serial, and diligent refinement of the inferior portion of the segmental fascia of Duane’s syndrome, and may reveal amblyopia and malacic emmetropization to be significant factors in the poor visual outcome of this syndrome.