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—We appreciate the comments by Dr Metz regarding our article. While we agree that one of the patients had a large esotropia and another patient was exotropic, these patients, nevertheless, represent "typical" examples of type 1 Duane's retraction syndrome, in that they had severe limitation of abduction, slight limitation of adduction, and narrowing of the palpebral fissure with retraction of the globe on attempted adduction. In addition, our fifth patient, who had an exotropia of 15 diopters at distance and 30 D at near, has subsequently undergone an autopsy, with pathologic findings of Duane's retraction syndrome. An article concerning these findings is presently in press.With regard to peak saccadic velocities determined for 20° abducting saccades, velocities were determined to and from the primary position toward the field in which abduction was limited rather than in the field in which abduction was limited, as the footnote to Table
Miller NR, Zee DS, Gourdeau A, Morris J. Duane's Retraction Syndrome-Reply. Arch Ophthalmol. 1982;100(5):844. doi:10.1001/archopht.1982.01030030847031