title: Unilateral acquired Brown's syndrome in systemic scleroderma: An unusual cause for diplopia.
abstract: Brown's syndrome can be congenital or acquired with multiple causes. It has been described as a ocular complication in various rheumatic and nonrheumatic diseases. We describe a case of 27-year-old female patient with 5 years old history of systemic scleroderma who developed vertical diplopia, a left head tilt, and restriction of left eye on elevation in adduction. The patient responded to systemic steroids with resolution of diplopia.
authors.affiliation: Pediatric and Squint Clinic, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India.
authors.forename: Neelam
authors.initials: N
authors.lastname: Pawar
authors.forename: Meenakshi
authors.initials: M
authors.lastname: Ravindran
authors.forename: Renagappa
authors.initials: R
authors.lastname: Ramakrishnan
authors.forename: Devendra
authors.initials: D
authors.lastname: Maheshwari
authors.forename: Bhakti
authors.initials: B
authors.lastname: Trivedi
mesh_terms: D000328:Adult; D004172:Diplopia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D015835:Ocular Motility Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000627:therapeutic use; D012595:Scleroderma, Systemic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014792:Visual Acuity; D058609:Visual Field Tests
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone