The typical symptoms of Retraction syndrome (Stilling-Türk-Duane) are severe limitation of abduction, slight limitation of adduction and convergence, which are always accompanied by retraction of the globe, narrowing of the palpebral fissure, vertical deviation and elevated intraocular pressure, and a remarkable motility of the globe in the orbital axis. All symptoms are explicable by the cocontraction of the horizontal rectus muscles. In cases of single binocular vision, surgery is indicated only when the head posture is intolerable. We restrict surgery to recession of horizontal rectus muscles according to the head posture and the deviation. The surgical results of this procedure are satisfactory concerning the horizontal and the vertical deviation and the head posture.

Ocní klinika pro lécbu silhání a neurooftalmologii Univerzity Justuse Liebiga Giessen