title: Acquired simulated brown syndrome following surgical repair of medial orbital wall fracture.
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.
authors.affiliation: Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
authors.forename: Jong-uk
authors.initials: JU
authors.lastname: Hwang
authors.forename: Hyun Taek
authors.initials: HT
authors.lastname: Lim
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D004172:Diplopia / Q000209:etiology* / Q000601:surgery; D005133:Eye Movements; D006801:Humans; D008297:Male; D015835:Ocular Motility Disorders / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications; D013285:Strabismus / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D015348:Vision, Binocular