Brown's Syndrome

Brown's Syndrome is characterized by defects and errors in eye movement.  This disease may be congential or secondary from inflammation.  Malfunction of the superior orbital tendon causes these defects in eye movement, especially when adducting the eye upward.  It is thought that about 35% of patients with Brown's Syndrome has a family member with Brown's Syndrome.  It is thought then, that Brown's Syndrome could be a genetic trait.  This syndrome is mostly found in women and then only in the right eye. 

Some medical treatments for this syndrome are an antinflammatory such as ibuprofen.  Another form of treatment is a steriod injection.  However, surgical treatment is the best way to treat this syndrome.  A tenotomy is performed and medical grade silicone 240 retinal band, this is the most effective form of treatment.  Other surgical procedures include:  superior oblique split tendon lengthening, tenotomy, and superior oblique recession.  Facial reconstruction is also an option but it is not recommended for its low success rate.  However, in some cases the best way to treat this syndrome is to do nothing at all!