Wilson M E, Eustis H S, Parks M M
Department of Ophthalmology, National Naval Medical Center, Bethesda, Maryland.
Surv Ophthalmol. 1989 Nov-Dec;34(3):153-72. doi: 10.1016/0039-6257(89)90100-8.
Brown's syndrome is a well-recognized clinical disorder of ocular motility manifesting most notably a restriction of active and passive elevation in adduction. The original name, "superior oblique tendon sheath syndrome," is no longer appropriate, since it has been shown that the tissue surrounding the anterior superior oblique tendon is blameless as a restrictive force. "True" and "simulated" as descriptive modifiers should also be discarded, as they relate to the disproven sheath concept. Brown's syndrome occurs as a congenital or acquired, constant or intermittent condition; the common link is restriction of free movement through the trochlea pulley mechanism. The various etiologic theories are reviewed and the spectrum of medical and surgical treatments are described and evaluated. Evidence suggests that subtypes of Brown's syndrome lie on a single continuum and that spontaneous resolution occurs in each group, probably more often than previously recognized. A simplified classification scheme is encouraged and possible future directions in Brown's syndrome research are introduced.
布朗综合征是一种公认的眼球运动临床疾病，最显著的表现是内收时主动和被动上抬受限。其原名“上斜肌腱鞘综合征”已不再合适，因为已表明上斜肌前肌腱周围组织并非造成限制的原因。“真性”和“假性”作为描述性修饰词也应摒弃，因为它们与已被否定的腱鞘概念相关。布朗综合征可先天性或后天性出现，可为持续性或间歇性；共同特征是通过滑车滑轮机制限制自由运动。本文回顾了各种病因理论，并描述和评估了药物及手术治疗方法。有证据表明，布朗综合征的各亚型处于单一连续谱上，且每组都可能出现自发缓解，其发生率可能比之前认为的更高。本文鼓励采用简化的分类方案，并介绍了布朗综合征研究未来可能的方向。
