Acquired Simulated Brown Syndrome following Surgical Repair of Medial Orbital Wall Fracture.
- Author:
Jong Uk HWANG
1
;
Hyun Taek LIM
Author Information
- Publication Type:Case Report
- Keywords: Blow out fracture; Brown tendon sheath syndrome; Diplopia; Hypertropia; Ocular motility disorder
- MeSH: Adult; Anesthesia, Local; Diplopia/*etiology/surgery; Eye Movements; Humans; Male; Ocular Motility Disorders/*etiology/radiography/surgery; Oculomotor Muscles/surgery; Ophthalmologic Surgical Procedures; Orbital Fractures/radiography/*surgery; *Postoperative Complications; Strabismus/etiology/surgery; Tomography, X-Ray Computed; Vision, Binocular
- From:Korean Journal of Ophthalmology 2005;19(1):80-83
- CountryRepublic of Korea
- Language:English
- Abstract: Simulated Brown syndrome is a term applied to a myriad of disorders that cause a Brown syndrome-like motility. We encountered a case of acquired simulated Brown syndrome in a 41-year-old man following surgical repair of fractures of both medial orbital walls. He suffered from diplopia in primary gaze, associated with hypotropia of the affected eye. We performed an ipsilateral recession of the left inferior rectus muscle as a single-stage intraoperative adjustment procedure under topical anesthesia, rather than the direct approach to the superior oblique tendon. Postoperatively, the patient was asymptomatic in all diagnostic gaze positions.
