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This strategy has proven useful for 6th nerve palsy; however urmc pain treatment center sawgrass drive rochester ny azulfidine 500 mg order, in Duane syndrome any reduction of medial rectus muscle innervation also reduces the anomalous innervation to the lateral rectus muscle, so there may be no net benefit. The purpose of this study is to evaluate the potential beneficial effect on abnormal head posture of contralateral medial rectus muscle recession in Duane syndrome. Methods: this is an institutional retrospective series of Duane syndrome patients examined by the author from 2013 to 2018. Patients with unilateral esotropic Duane syndrome were tested for improvement in their abnormal head posture with base-out prism over the sound eye to simulate the effect of contralateral surgery. Results: Of the 48 patients with Duane syndrome seen during this period, 16 had unilateral esotropic Duane syndrome with a compensatory head turn. Even with large amounts of prism ranging from 20 to 50 prism diopters, only 3 showed any improvement in their head turn. Conclusion: Contralateral medial rectus muscle recession is unlikely to provide any additional effect on abnormal head posture in the majority of patients with unilateral esotropic Duane syndrome. Preoperative testing with prism over the sound eye is advised to predict which patients may benefit from this approach. This paper describes a retrospective study that quantitatively assesses the prevalence of imported and support staff-authored content in ophthalmology office visit progress notes at Casey Eye Institute at Oregon Health & Science University. Methods: Eight attending ophthalmologists from 4 different ophthalmic subspecialties (cornea, general, neuro-ophthalmology, retina) were selected. Progress note text from 1 new and 1 follow-up office visit was characterized as: (a) manually-entered or imported, and (b) authored by provider, support staff/technician, or photographer. Results: On average, the majority of text words in new and return progress notes was imported using sources such as copy-paste and templates (514/691 [74%] new, 654/766 [85%] return). Support staff authored significant percentages of progress notes (253/691 [37%] new, 398/767 [52%] return).
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