eMedicine Specialties > Ophthalmology > Extraocular Muscles

Brown Syndrome: Follow-up

Author: Kenneth W Wright, MD, Director, Wright Foundation for Pediatric Ophthalmology and Strabismus; Director, Pediatric Ophthalmology Research and Education, Cedars-Sinai Medical Center; Clinical Professor of Ophthalmology, University of Southern California Keck School of Medicine
Coauthor(s): Maria Gabriela Salvador, MD, Consulting Staff, Department of Ophthalmology, Division of Pediatric Ophthalmology and Strabismus, Colonia Polanco Chapultepec Morales
Contributor Information and Disclosures

Updated: Dec 3, 2007

Follow-up

Complications

  • Patients should be observed for recurrence of amblyopia, strabismus, and abnormal head position.

Miscellaneous

Medicolegal Pitfalls

  • Early detection to prevent amblyopia
 


More on Brown Syndrome

Overview: Brown Syndrome
Differential Diagnoses & Workup: Brown Syndrome
Treatment & Medication: Brown Syndrome
Follow-up: Brown Syndrome
Multimedia: Brown Syndrome
References

References

  1. Brown HW. True and simulated superior oblique tendon sheath syndromes. Doc Ophthalmol. Feb 21 1973;34(1):123-36. [Medline].

  2. Parks MM, Brown M. Superior oblique tendon sheath syndrome of Brown. Am J Ophthalmol. Jan 1975;79(1):82-6. [Medline].

  3. Helveston EM, Merriam WW, Ellis FD, Shellhamer RH, Gosling CG. The trochlea. A study of the anatomy and physiology. Ophthalmology. Feb 1982;89(2):124-33. [Medline].

  4. Wright KW. Brown's syndrome: diagnosis and management. Trans Am Ophthalmol Soc. 1999;97:1023-109. [Medline].

  5. Parks MM. Bilateral superior oblique tenotomy for A-pattern strabismus in patients with fusion (commentary). Binoc Vis. 1988;3:39.

  6. Buckley EG, Flynn JT. Superior oblique recession versus tenotomy: a comparison of surgical results. J Pediatr Ophthalmol Strabismus. May-Jun 1983;20(3):112-7. [Medline].

  7. Clarke MP, Bray LC, Manners T. Superior oblique tendon expansion in the management of superior oblique dysfunction. Br J Ophthalmol. Jul 1995;79(7):661-3. [Medline].

  8. Clarke WN, Noel LP. Brown's syndrome with contralateral inferior oblique overaction: a possible mechanism. Can J Ophthalmol. Aug 1993;28(5):213-6. [Medline].

  9. George JL, Maalouf T, Cordonnier MO, Angioi-Duprez K. [Abnormal eyelid positions in Brown syndrome]. J Fr Ophtalmol. Jun 2004;27(6 Pt 1):579-87. [Medline].

  10. Helveston EM, Birchler C. Superior oblique palsy: subclassification and treatment suggestions. Am Orthopt J. 1982;32:104-110.

  11. Prieto-Diaz J. Posterior tenectomy of the superior oblique. J Pediatr Ophthalmol Strabismus. Sep-Oct 1979;16(5):321-3. [Medline].

  12. Scott AB, Knapp P. Surgical treatment of the superior oblique tendon sheath syndrome. Arch Ophthalmol. Sep 1972;88(3):282-6. [Medline].

  13. Scott WE, Jampolsky AJ, Redmond MR. Superior oblique tenotomy: indications and complications. Int Ophthalmol Clin. 1976;16(3):151-9. [Medline].

  14. Von Noorden GK. Binocular Vision and Ocular Motility. St. Louis: CV Mosby; 1996:437-442.

  15. Wright KW. Color Atlas of Ophthalmic Surgery-Strabismus. Philadelphia, Pa: Lippincott; 1991:201-219.

  16. Wright KW. Superior oblique silicone expander for Brown syndrome and superior oblique overaction. J Pediatr Ophthalmol Strabismus. Mar-Apr 1991;28(2):101-7. [Medline].

  17. Wright KW. Surgical procedure for lengthening the superior oblique tendon. Invest Ophthamol Vis Sci. 1989;30(sup):377.

  18. Wright KW, Min BM, Park C. Comparison of superior oblique tendon expander to superior oblique tenotomy for the management of superior oblique overaction and Brown syndrome. J Pediatr Ophthalmol Strabismus. Mar-Apr 1992;29(2):92-7; discussion 98-9. [Medline].

  19. Wright KW, Silverstein D, Marrone AC, Smith RE. Acquired inflammatory superior oblique tendon sheath syndrome. A clinicopathologic study. Arch Ophthalmol. Nov 1982;100(11):1752-4. [Medline].

Further Reading

Keywords

Brown's syndrome, BS, superior oblique tendon sheath syndrome, true sheath syndrome, simulated sheath syndrome, strabismus, amblyopia

Contributor Information and Disclosures

Author

Kenneth W Wright, MD, Director, Wright Foundation for Pediatric Ophthalmology and Strabismus; Director, Pediatric Ophthalmology Research and Education, Cedars-Sinai Medical Center; Clinical Professor of Ophthalmology, University of Southern California Keck School of Medicine
Kenneth W Wright, MD is a member of the following medical societies: American Academy of Ophthalmology, American Academy of Pediatrics, and American Ophthalmological Society
Disclosure: Nothing to disclose.

Coauthor(s)

Maria Gabriela Salvador, MD, Consulting Staff, Department of Ophthalmology, Division of Pediatric Ophthalmology and Strabismus, Colonia Polanco Chapultepec Morales
Disclosure: Nothing to disclose.

Medical Editor

Anastasios J Kanellopoulos, MD, Assistant Program Director, Clinical Associate Professor, Department of Ophthalmology, Manhattan Eye, Ear, and Throat Hospital, New York University
Anastasios J Kanellopoulos, MD is a member of the following medical societies: American Academy of Ophthalmology, Association for Research in Vision and Ophthalmology, Eye Bank Association of America, and International Society of Refractive Surgery
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

J James Rowsey, MD, Director of Corneal Services, St Luke's Cataract and Laser Institute, Florida
Disclosure: Nothing to disclose.

CME Editor

Lance L Brown, OD, MD, Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri
Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD, Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences
Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology
Disclosure: Nothing to disclose.

 
 
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