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A Case Report of Progressive Brown Syndrome?
A Coughlan1, G E Arblaster1,2, J P Burke2
1Academic Unit of Ophthalmology and Orthoptics, University of Sheffield, GB.
The British and Irish Orthoptic Journal
|October 1, 2020
Summary
This case study details a rare, progressive form of Brown syndrome successfully treated with surgery. The intervention improved eye alignment and abnormal head posture, offering relief for patients with this challenging condition.
Area of Science:
- Ophthalmology
- Strabismus Surgery
Background:
- Brown syndrome is a rare condition characterized by restricted elevation of the eye.
- Progressive and long-standing cases are unusual, making diagnosis and treatment challenging.
Purpose of the Study:
- To present a unique case of progressive Brown syndrome with a long documented history.
- To report the successful surgical management of this unusual presentation.
Main Methods:
- A 42-year-old male with a 14-year history of progressive Brown syndrome was treated.
- Surgical intervention involved an ipsilateral superior oblique (SO) silicone tendon spacer and contralateral superior rectus (SR) recession.
Main Results:
- The surgery significantly reduced primary position deviation and eliminated abnormal head posture (AHP).
- Post-operative diplopia was limited to extreme elevation and depression.
Conclusions:
- Progressive Brown syndrome, while rare, can be effectively managed surgically.
- Surgical treatment improved diplopia and AHP in this long-term case, highlighting its potential benefit.
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