Title

Brown syndrome

Document Type

Journal Article

Publication Date

7-27-2016

Journal

Practical Management of Pediatric Ocular Disorders and Strabismus: A Case-based Approach

DOI

10.1007/978-1-4939-2745-6_58

Keywords

Anomalous head posture; Brown syndrome; Fibrosis of extraocular muscles; Inferior oblique palsy; Ocular torticollis

Abstract

© Springer Science+Business Media, LLC 2016. Brown syndrome is characterized by an inability to elevate the eye in adduction as a result of either a tight or shortened superior oblique tendon, or a process at the trochlea that limits the movement of the superior oblique tendon in the trochlear opening. While most patients are asymptomatic, some adopt an anomalous head position and others have a very noticeable abnormal eye movement pattern that necessitates the lengthening of the superior oblique tendon, generally with good outcomes. This chapter gives a brief clinical overview of Brown syndrome and, through four case presentations, illustrates some of the general principles of the management of this condition.

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