Coughlan, A., Arblaster, G. orcid.org/0000-0002-3656-3740 and Burke, J.P. (2018) A case report of progressive Brown syndrome? British and Irish Orthoptic Journal, 14 (1). pp. 30-34. ISSN 1743-9868
Abstract
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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
Keywords: | Brown syndrome; progressive; strabismus surgery |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > Department of Oncology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 14 May 2018 09:35 |
Last Modified: | 15 May 2018 06:53 |
Published Version: | https://doi.org/10.22599/bioj.110 |
Status: | Published |
Publisher: | British and Irish Orthoptic Society |
Refereed: | Yes |
Identification Number: | 10.22599/bioj.110 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:130737 |