title: Simultaneous superior oblique tenotomy and inferior oblique recession in Brown's syndrome.
abstract: The technique and results of simultaneous superior oblique tenotomy and 14-mm inferior oblique recession for true Brown's syndrome are presented for 16 eyes of 13 patients. A good or excellent result was achieved in 15 of 16 eyes (94%). Reoperation for overcorrection was not necessary; however, repeat tenotomy was required in two cases. Inferior oblique underaction was present in 12 of 16 eyes (75%) in the early postoperative period; however, elevation in adduction improved over time. At most recent examination, 92% of eyes demonstrated greater than 25 degrees elevation in adduction. Underaction of the superior oblique occurred in 3 of 16 eyes (19%). A simultaneous superior oblique tenotomy and inferior oblique recession is recommended in all patients selected to undergo surgery for true Brown's syndrome to prevent reoperation for iatrogenic superior oblique palsy.
authors: Department of Ophthalmology, Children's Hospital National Medical Center, Washington, D.C.
authors: M M
authors: MM
authors: Parks
authors: H S
authors: HS
authors: Eustis
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005128:Eye Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D009801:Oculomotor Muscles / Q000601:surgery*; D013577:Syndrome; D013710:Tendons / Q000601:surgery*