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Bilateral familial vertical Duane Syndrome with synergistic convergence, aberrant trigeminal innervation, and facial hypoplasia.

Abstract
A 5-year-old girl presented with bilateral familial vertical Duane retraction syndrome with alternating esotropia, elevation deficit, Marcus gunn phenomenon, and facial hypoplasia. Abnormal adducting downshoots on attempting abduction suggestive of a synergistic convergence were noted. Hypothesis suggests aberrant innervations or peripheral anatomic connections between inferior and medial recti.
AuthorsMalvika Gupta, Om Prakash Gupta, Vishal Vohra
JournalOman journal of ophthalmology (Oman J Ophthalmol) Vol. 7 Issue 3 Pg. 135-7 (Sep 2014) ISSN: 0974-620X [Print] India
PMID25378878 (Publication Type: Case Reports)

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