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Related Experiment Videos

Brown's syndrome.

M E Wilson1, H S Eustis, M M Parks

  • 1Department of Ophthalmology, National Naval Medical Center, Bethesda, Maryland.

Survey of Ophthalmology
|November 1, 1989
PubMed
Summary
This summary is machine-generated.

Brown's syndrome, a disorder of ocular motility, involves restricted eye movement. Current evidence suggests subtypes may exist on a continuum with potential for spontaneous resolution.

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Area of Science:

  • Ophthalmology
  • Neuroscience
  • Biomechanics

Background:

  • Brown's syndrome is a clinical disorder affecting ocular motility.
  • It is characterized by restricted elevation in adduction.
  • The term "superior oblique tendon sheath syndrome" is outdated.

Purpose of the Study:

  • To review etiologic theories of Brown's syndrome.
  • To describe and evaluate medical and surgical treatments.
  • To propose a simplified classification and future research directions.

Main Methods:

  • Review of existing literature on Brown's syndrome.
  • Analysis of etiologic theories.
  • Evaluation of treatment outcomes.

Main Results:

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  • The trochlea pulley mechanism is implicated in restricted movement.
  • Subtypes of Brown's syndrome may represent a single continuum.
  • Spontaneous resolution occurs more frequently than previously recognized.

Conclusions:

  • The concept of "true" and "simulated" Brown's syndrome should be discarded.
  • A simplified classification scheme is recommended.
  • Further research into Brown's syndrome is warranted.