Coughlan A, Arblaster G E, Burke J P
Academic Unit of Ophthalmology and Orthoptics, University of Sheffield, GB.
Ophthalmology Department, Royal Hallamshire Hospital, Sheffield, GB.
Br Ir Orthopt J. 2018 May 10;14(1):30-34. doi: 10.22599/bioj.110.
To report an unusual case of progressive Brown syndrome and the successful surgical treatment.
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.
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.
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.
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。
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。
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。
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。
