browns Flashcards
1
Q
congenital or acquired?
A
can be both
2
Q
symptoms
A
pain/discomfort
diplopia
CHP UP
unable to elevate eyes
3
Q
signs?
A
- limitation of elevation in aDduction, direct elevation and aBduction
- usually straight in PP
- o/a of SR
4
Q
ocular motility
A
5
Q
differential diagnosis
A
- IO palsy
- orbital blow out fracture
6
Q
how to differentiate between browns and IO palsy?
A
forced duction test
7
Q
if under 8 - management
A
routine referral to confirm binocularly stable
monitoring
8
Q
if over 8 - management
A
no need to refer if binocularly stable
non-urgent referral if symptomatic
9
Q
if acquired - management
A
Refer and treat pathology
