J Korean Ophthalmol Soc.  2006 Nov;47(11):1875-1878.

Acquired Brown Syndrome After Retinal Detachment Surgery

• Moon K
• Kim JH
• Lee SY

Abstract

PURPOSE: To report a case of acquired Brown syndrome found in the left eye of a female patient who had undergone surgery for proliferative vitreoretinopathy.
METHODS
A 41-year-old female patient presented with right hypertropia and esotropia. We reviewed her history, conducted an ophthalmic examination and performed surgery.
RESULTS
Prior to presentation, the patient experienced a sudden decrease in visual acuity. She was diagnosed with proliferative vitreoretinopathy caused by rhegmatogenous retinal detachment, and underwent scleral buckling. After surgery, with the eye in the primary position, the right hypertropia was 9 prism diopters and the esotropia was 30 prism diopters. The patient was unable to elevate the eye in the adducted position. A forced duction test was performed and we detected a restricted elevation in adduction. By performing a tenectomy of the superior oblique muscle and a recession of the medial rectus muscle, orthophoria was obtained in the primary position, and the elevation in adduction improved.
CONCLUSIONS
Herein, we report satisfactory results of a procedure in one case of acquired Brown syndrome following retinal detachment surgery.

Keyword

Acquired Brown syndrome; Retinal detachment; Scleral buckling

MeSH Terms

Adult
Esotropia
Female
Humans
Retinal Detachment*
Retinaldehyde*
Scleral Buckling
Strabismus
Visual Acuity
Vitreoretinopathy, Proliferative
Retinaldehyde