Acquired Brown's syndrome from blunt orbital trauma

Blunt trauma to the supero-medial orbit resulted in an isolated Brown's syndrome in two patients. One recovered spontaneously in three weeks; the other had a good outcome after surgery two years post trauma. Recognition of the characteristic motility abnormality and forced duction testing will differentiate this condition from other, more common, motility disorders caused by orbital trauma. Spontaneous resolution may occur but in persistent deviations a superior oblique muscle weakening procedure should be considered.