Astigmatism in Duane Retraction Syndrome.

The investigation of mean spherical power and SE demonstrated a trend toward myopia as the classification progressed from Type 1 DRS to Type 2 and subsequently to Type 3 DRS, observed in both the affected and fellow eyes; However, it did not reach statistical significance.

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Therefore, we conclude that there is a notable trend toward ATR astigmatism in Type 3 DRS, primarily attributed to the highest level of co-contraction observed in this subtype.

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This observation represents a significant trend, shifting from a predominance of WTR astigmatism in Type 1 DRS-affected eyes toward a more pronounced ATR astigmatism in Type 3 DRS-affected eyes.

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