Traumatic rupture of the superior oblique muscle tendon resulting in acquired Brown's Syndrome
Date
2010
Authors
Warrier, S.
Wells, J.
Prabhakaran, V.
Selva-Nayagam, D.
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Journal of Pediatric Ophthalmology and Strabismus, 2010; 47(3):168-170
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Sunil Warrier, Jane Wells, Venkatesh C. Prabhakaran, Dinesh Selva
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Abstract
Traumatic rupture of the superior oblique tendon is a rare cause of acquired Brown’s syndrome. This report describes a case of traumatic rupture of the superior oblique tendon, distal to the trochlea, after injury with a plant hook. The ruptured tendon was reapproximated. Postoperatively, asymptomatic Brown’s syndrome developed, although residual function of the superior oblique muscle was retained. Full-thickness upper eyelid lacerations, especially those caused by a hook, must be explored carefully to exclude superior oblique tendon rupture. Careful reapproximation of the tendon can result in residual muscle function.
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