Arch Craniofac Surg.  2012 Oct;13(2):130-134. 10.7181/acfs.2012.13.2.130.

Acquired Simulated Brown Syndrome Combined with Blepharoptosis after Upper Blepharoplasty

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea. dhpark@cu.ac.kr

Abstract

PURPOSE
Brown syndrome is motility disorder of the eyeball which shows limited elevation in adduction and occurs very rarely after eye surgery. The authors have experienced a case of strabismus-like Brown syndrome combined with blepharoptosis and report this case with the review of literatures.
METHODS
A 28-year-old female suffered from hypotropia in the primary gaze and severe blepharoptosis with diplopia of the right eye after upper blepharoplasty. Rotation showed an inability to elevate the adducted right eye. She underwent extraocular muscle surgery about the 7 mm tucking of the right superior rectus muscle and 6 mm recession of right inferior rectus muscle. Intraoperatively, injury of the superior rectus muscle and foreign body were observed. Seven months after the extraocular surgery, the patient underwent frontalis muscle transfer on the right upper eyelid for the correction of blepharoptosis.
RESULTS
Postoperatively, the patient was orthophoric in the primary gaze, and she had improvements in the correction of blepharoptosis and eyeball movement.
CONCLUSION
Repeated eyelid surgeries increase the risk of ocular motility disorder. Careful approach is essential for the proper treatment and successful outcome in secondary surgeries.

Keyword

Ocular motility disorder; Blepharoplasty; Brown syndrome

MeSH Terms

Adult
Blepharoplasty
Blepharoptosis
Diplopia
Eye
Eyelids
Female
Foreign Bodies
Humans
Muscles
Ocular Motility Disorders
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