一例进行性布朗综合征病例报告？
A Case Report of Progressive Brown Syndrome?
作者信息
Coughlan A, Arblaster G E, Burke J P
机构信息
Academic Unit of Ophthalmology and Orthoptics, University of Sheffield, GB.
Ophthalmology Department, Royal Hallamshire Hospital, Sheffield, GB.
出版信息
Br Ir Orthopt J. 2018 May 10;14(1):30-34. doi: 10.22599/bioj.110.
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.
目的
报告一例罕见的进行性布朗综合征病例及成功的手术治疗。
方法
介绍一名42岁男性，有记录显示其患有进行性布朗综合征达14年。为改善复视症状，实施了同侧上斜肌7毫米硅胶腱间隔植入术和对侧上直肌3毫米后徙术。
结果
手术成功减少了原在位斜视度（术前30ΔLHoT 7ΔLXT；术后1个月3ΔLHo；术后1年7 - 8ΔLHo 1 - 2ΔE）并消除了异常头位。术后仅在向上和向下注视时报告有复视。
结论
该例布朗综合征不同寻常，因其呈进行性且在手术前已有数年记录病史。布朗综合征很少需要手术治疗，但在此病例中手术成功改善了患者的复视和异常头位。
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