Browns Syndrome Flashcards
1
Q
Clinical characteristics
A
- limitation of elevation in adduction
- downdrift of affected eye on contralateral version
- overaction of contralateral SR
- A or V pattern
- discomfort
- improvement on repeated testing as defect wears down
- AHP
- positive forced duction test
- limitation on direct elevation and elevation abduction
2
Q
Aetiology of browns
A
- anomaly of the tendon sheath
- anomaly of tendon
- surgery
- trauma
- inflammatory rheumatoid arthritis
3
Q
Conservative management
A
- observation
- corticosteroids
4
Q
Surgical management
A
- tonotomy/tenectomy of SO
- split tendon lengthening
