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...

Full description

Bibliographic Details
Main Authors: A. Coughlan, G. E. Arblaster, J. P. Burke
Format: Article
Language:English
Published: White Rose University Press 2018-05-01
Series:British and Irish Orthoptic Journal
Subjects:
Online Access:https://www.bioj-online.com/articles/110
_version_ 1818330663211761664
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