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  • Title: Increased restriction from an accessory lateral rectus in exotropic Duane syndrome.
    Author: Macieira de Almeida Neves L, Curi I.
    Journal: J AAPOS; 2019 Jun; 23(3):174-176. PubMed ID: 30735781.
    Abstract:
    Supernumerary extraocular muscles can cause restrictive strabismus, unusual ocular movements, and a persistent positive forced duction test. Even among patients with clinically typical strabismus, intraoperative testing and surgical exploration may reveal the presence of supernumerary extraocular muscles. We report the case of a patient with exotropic Duane syndrome found intraoperatively to have an accessory lateral rectus muscle, with histopathologically confirmed striated fibers.
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