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Open AccessArticle

Morphometry of the Oculomotor Nerve in Duane’s Retraction Syndrome

1
Department of Ophthalmology, Kim’s Eye Hospital, Seoul 07301, Korea
2
Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, Korea
3
Department of Radiology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, Korea
*
Authors to whom correspondence should be addressed.
The two authors are equivalent first authors.
J. Clin. Med. 2020, 9(6), 1983; https://doi.org/10.3390/jcm9061983
Received: 12 May 2020 / Revised: 16 June 2020 / Accepted: 18 June 2020 / Published: 24 June 2020
(This article belongs to the Special Issue Development and Application of Imaging Analysis in Ocular Diseases)
Objective: To investigate the morphometric characteristics of the oculomotor nerve and its association with horizontal rectus muscle volume in patients with Duane’s retraction syndrome (DRS) according to the presence of the abducens nerve. Methods: Fifty patients diagnosed with unilateral DRS were divided into two groups according to high-resolution magnetic resonance imaging (MRI) findings; DRS without an abducens nerve on the affected side (absent group, n = 41), and DRS with symmetric abducens nerves on both sides (present group, n = 9). Oculomotor nerve diameter was measured on high-resolution MRI in the middle of the cisternal space. The medial rectus muscle (MR) and lateral rectus muscle (LR) volumes were measured on T2-weighted coronal MRI of the orbit. Associations of oculomotor nerve diameter and horizontal rectus muscle volumes were performed according to the presence and absence of the abducens nerve. Results: Oculomotor nerve diameter on the affected side was thicker than that of the non-affected side in the absent group (p < 0.001), but not in the present group (p = 0.623). In the absent group, there was a positive correlation between oculomotor nerve diameter and MR volume (r = 0.779, p < 0.001), as well as the LR volume (r = 668, p = 0.023) of the affected eye. Conclusions: In DRS patients with an absent abducens nerve, the oculomotor nerve diameter was thicker in the affected eye compared to the non-affected eye. Oculomotor nerve diameter was associated with MR and LR volumes in the absent group. This study provides structural correlates of aberrant innervation of the oculomotor nerve in DRS patients. View Full-Text
Keywords: strabismus; Duane’s retraction syndrome; oculomotor nerve; extraocular muscle; high-resolution magnetic resonance imaging (MRI) strabismus; Duane’s retraction syndrome; oculomotor nerve; extraocular muscle; high-resolution magnetic resonance imaging (MRI)
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Kang, M.S.; Yang, H.K.; Kim, J.; Kim, J.H.; Hwang, J.-M. Morphometry of the Oculomotor Nerve in Duane’s Retraction Syndrome. J. Clin. Med. 2020, 9, 1983.

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