A Case Report of Progressive Brown Syndrome?
Aim: To report an unusual case of progressive Brown syndrome and the successful surgical treatment. Methods: A 42-year-old male with a documented 14-year history of progressive Brown syndrome is presented. To improve diplopia symptoms an ipsilateral superior oblique (SO) 7 mm silicone tendon spacer...
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Format: | Article |
Language: | English |
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White Rose University Press
2018-05-01
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Series: | British and Irish Orthoptic Journal |
Subjects: | |
Online Access: | https://www.bioj-online.com/articles/110 |
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author | A. Coughlan G. E. Arblaster J. P. Burke |
author_facet | A. Coughlan G. E. Arblaster J. P. Burke |
author_sort | A. Coughlan |
collection | DOAJ |
description | Aim: To report an unusual case of progressive Brown syndrome and the successful surgical treatment. Methods: A 42-year-old male with a documented 14-year history of progressive Brown syndrome is presented. To improve diplopia symptoms an ipsilateral superior oblique (SO) 7 mm silicone tendon spacer and a contralateral 3 mm superior rectus (SR) recession were performed. Results: The surgical procedure was successful in reducing the primary position deviation (preoperative 30ΔLHoT 7ΔLXT; one month post surgery 3ΔLHo; one year post surgery 7-8ΔLHo 1-2ΔE) and eliminating the abnormal head posture (AHP). Diplopia was only reported on elevation and depression following surgery. Conclusion: This case of Brown syndrome is unusual as it was progressive and had a documented history over a number of years prior to surgery. Surgical treatment of Brown syndrome is rarely required, but in this case was successful in improving the patient’s diplopia and AHP. |
first_indexed | 2024-12-13T13:07:32Z |
format | Article |
id | doaj.art-8a3b390b96e246e5880fa55725b4ab51 |
institution | Directory Open Access Journal |
issn | 2516-3590 |
language | English |
last_indexed | 2024-12-13T13:07:32Z |
publishDate | 2018-05-01 |
publisher | White Rose University Press |
record_format | Article |
series | British and Irish Orthoptic Journal |
spelling | doaj.art-8a3b390b96e246e5880fa55725b4ab512022-12-21T23:44:46ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902018-05-01141303410.22599/bioj.110111A Case Report of Progressive Brown Syndrome?A. Coughlan0G. E. Arblaster1J. P. Burke2Academic Unit of Ophthalmology and Orthoptics, University of SheffieldAcademic Unit of Ophthalmology and Orthoptics, University of Sheffield; Ophthalmology Department, Royal Hallamshire Hospital, SheffieldOphthalmology Department, Royal Hallamshire Hospital, SheffieldAim: To report an unusual case of progressive Brown syndrome and the successful surgical treatment. Methods: A 42-year-old male with a documented 14-year history of progressive Brown syndrome is presented. To improve diplopia symptoms an ipsilateral superior oblique (SO) 7 mm silicone tendon spacer and a contralateral 3 mm superior rectus (SR) recession were performed. Results: The surgical procedure was successful in reducing the primary position deviation (preoperative 30ΔLHoT 7ΔLXT; one month post surgery 3ΔLHo; one year post surgery 7-8ΔLHo 1-2ΔE) and eliminating the abnormal head posture (AHP). Diplopia was only reported on elevation and depression following surgery. Conclusion: This case of Brown syndrome is unusual as it was progressive and had a documented history over a number of years prior to surgery. Surgical treatment of Brown syndrome is rarely required, but in this case was successful in improving the patient’s diplopia and AHP.https://www.bioj-online.com/articles/110Brown syndromeprogressivestrabismus surgery |
spellingShingle | A. Coughlan G. E. Arblaster J. P. Burke A Case Report of Progressive Brown Syndrome? British and Irish Orthoptic Journal Brown syndrome progressive strabismus surgery |
title | A Case Report of Progressive Brown Syndrome? |
title_full | A Case Report of Progressive Brown Syndrome? |
title_fullStr | A Case Report of Progressive Brown Syndrome? |
title_full_unstemmed | A Case Report of Progressive Brown Syndrome? |
title_short | A Case Report of Progressive Brown Syndrome? |
title_sort | case report of progressive brown syndrome |
topic | Brown syndrome progressive strabismus surgery |
url | https://www.bioj-online.com/articles/110 |
work_keys_str_mv | AT acoughlan acasereportofprogressivebrownsyndrome AT gearblaster acasereportofprogressivebrownsyndrome AT jpburke acasereportofprogressivebrownsyndrome AT acoughlan casereportofprogressivebrownsyndrome AT gearblaster casereportofprogressivebrownsyndrome AT jpburke casereportofprogressivebrownsyndrome |