Abstract

Coexistence of both Duane Retraction Syndrome (DRS) and Aniridia in a single patient is a rare occurrence and warrants comprehensive evaluation and management.We report the case of a 8-year-old female presenting with a history of limited horizontal eye movement, photophobia, and reduced vision. Examination revealed bilateral Duane Retraction Syndrome, with bilateral limited abduction (-3) and adduction in both eyes, and the hallmark globe retraction and upshoots on attempted adduction and right head tilt, left face turn and nystagmus. Additionally, the patient exhibited bilateral aniridia, characterized by complete absence of the iris in both eyes.
This case highlights the importance of a multidisciplinary approach for the comprehensive evaluation and management of patients with coexisting Bilateral DRS and Aniridia. The rarity of this combination underscores the need for tailored treatment strategies to improve the patient's visual function and quality of life.