Acquired Simulated Brown Syndrome following Surgical Repair of Medial Orbital Wall Fracture.

Hwang,  Jong Uk; Lim,  Hyun Taek

doi:2005.19.1.80

Korean J Ophthalmol > Volume 19(1); 2005 > Article

Case Report

Korean Journal of Ophthalmology 2005;19(1):80-83.
DOI: https://doi.org/10.3341/kjo.2005.19.1.80 Published online March 30, 2005.

Acquired Simulated Brown Syndrome following Surgical Repair of Medial Orbital Wall Fracture.

Jong Uk Hwang, Hyun Taek Lim

Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. htlim@amc.seoul.kr

Abstract

Simulated Brown syndrome is a term applied to a myriad of disorders that cause a Brown syndrome-like motility. We encountered a case of acquired simulated Brown syndrome in a 41-year-old man following surgical repair of fractures of both medial orbital walls. He suffered from diplopia in primary gaze, associated with hypotropia of the affected eye. We performed an ipsilateral recession of the left inferior rectus muscle as a single-stage intraoperative adjustment procedure under topical anesthesia, rather than the direct approach to the superior oblique tendon. Postoperatively, the patient was asymptomatic in all diagnostic gaze positions.

Key Words: Blow out fracture;Brown tendon sheath syndrome;Diplopia;Hypertropia;Ocular motility disorder