|
This is a typical case of Brown
syndrome. Brown syndrome is the inability to elevate the
adducted eye , this is the only motility disorder of
this girl .Of course, this must be confirmed by
demonstrating restricted forced ductions to elevation of
the left eye in adduction. Based on the typical
appearance, it is safe to schedule surgery with
confidence that the diagnosis of Brown will be
confirmed. The choice of surgical procedure depends on
the experience and the preference of the surgeon.
My choice is to do a medial approach to the superior
oblique tendon and place a silicone spacer to lengthen
the tendon.
|
.jpg)
