Brown's syndrome is a well-recognized clinical disorder of ocular motility consisting mainly of a restriction of active and passive elevation in adduction. We report a series of 17 patients with true Brown's syndrome and discuss the clinical features and results of surgical intervention. Surgery should be considered carefully for the treatment of this syndrome as reoperation may be necessary and spontaneous resolution is seen during long-term follow-up of some patients.
ParksM.M.Surgery for Brown's syndrome. In: Symposium on Strabismus. Trans New Orleans Acad Ophthalmol.St Louis: CV Mosby, 1978; 157–77.
8.
EustisH.S., O'ReillyC., CrawfordJ.S.Management of superior oblique palsy after surgery for true Brown's syndrome.J Pediatr Ophthalmol Strabismus1987; 24: 10–7.
9.
ParksM.M., EustisH.S.Simultaneous superior oblique tenotomy and inferior oblique recession in Brown's syndrome.Ophthalmology1987; 94: 1043–8.
10.
ClarkW.N., NoelL.P.Brown's syndrome: fusion status and amblyopia.Can J Ophthalmol1983; 18: 118–23.
11.
SprungerD.T., Von NoordenG.K., HelvestonE.M.Surgical results in Brown syndrome.J Pediatr Ophthalmol Strabismus1991; 28: 164–7.
12.
WrightK.W., MinB.M., ParkC.Comparison of superior oblique tendon expander to superior oblique tenotomy for the management of superior oblique overaction and Brown syndrome.J Pediatr Ophthalmol Strabismus1992; 29: 92–7.
13.
BrownH.W.Oblique muscle surgery. Round table discussion. In: Strabismus Symposium. Trans New Orleans Acad Ophthalmol.St Louis: CV Mosby, 1962; 343–6.
14.
LoweR.F.Bilateral superior oblique tendon sheath syndrome-Occurrence and spontaneous recovery in one of uniovular twins.Br J Ophthalmol1969; 53: 466–71.
