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Related Experiment Videos

Traumatic simulated Brown's syndrome: a case report.

O B Jackson, S J Nankin, W E Scott

    Journal of Pediatric Ophthalmology and Strabismus
    |May 1, 1979
    PubMed
    Summary
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    This case report discusses a simulated Brown's tendon sheath syndrome mimicking an orbital floor fracture. Conservative management was chosen due to specific diagnostic findings, highlighting the importance of considering soft tissue edema.

    Area of Science:

    • Ophthalmology
    • Orbital Surgery

    Background:

    • Orbital floor fractures can present with entrapment symptoms.
    • Brown's syndrome involves inflammation of the superior oblique tendon sheath.

    Observation:

    • A patient presented with symptoms mimicking an orbital floor fracture.
    • Diagnostic findings included a positive forced traction test but a normal orbital tomogram.
    • Specific limitations in eye movement and trochlear region tenderness were noted.

    Findings:

    • Edema and hemorrhage were suggested by vertical saccadic up gaze velocity.
    • Greater limitation in elevation when the eye was adducted versus abducted was observed.
    • Tenderness and soft tissue injury near the trochlea were present.

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    Implications:

    • Conservative management is advised when orbital floor fracture is suspected but findings suggest otherwise.
    • Ophthalmologists should consider temporary superior restrictive phenomena caused by edema before surgical intervention.
    • Accurate diagnosis is crucial to avoid unnecessary surgery for orbital entrapment.