Surgical Outcomes in Correction of Brown Syndrome
Korean Journal of Ophthalmology
;
: 33-40, 2006.
Artigo
em Inglês
| WPRIM
| ID: wpr-72712
ABSTRACT
PURPOSE:
To evaluate the outcomes of surgery for Brown syndrome.METHODS:
We reviewed the charts of 15 patients who underwent surgery for Brown syndrome. The limitation of elevation in adduction (LEA) ranged from -2 to -4 degrees. A superior oblique muscle (SO) tenotomy was performed in 4 patients, a silicone expander was inserted in the SO of 9 patients, and a SO recession was performed in 2 patients. The results of surgery were analyzed with a follow-up period of more than 6 months, 42.3+/-48.42 months on average.RESULTS:
Nine female patients and 6 male patients with unilateral Brown syndrome were selected for this study. The left eye was the affected eye in 9 patients. The degree of preoperative LEA was -2 to -4 in 4 patients in whom SO tenotomy was performed, -3 to -4 in 9 patients treated with the silicone expander, and -2 to -4 in 2 patients treated with SO recession. The LEA was released after surgery in all patients without postoperative adhesion. However, unilateral overaction of the inferior oblique muscle due to excessive weakening of the SO occurred in 1 patient with tenotomy (25%) and in 1 patient with insertion of a silicone expander (11%).CONCLUSIONS:
LEA was released after tenotomy, insertion of a silicone expander and recession of the SO in 13 of 15 patients with Brown syndrome. SO palsy due to overcorrection and under-correction with postoperative adhesion should be avoided.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Elastômeros de Silicone
/
Procedimentos Cirúrgicos Oftalmológicos
/
Síndrome
/
Fatores de Tempo
/
Transtornos da Motilidade Ocular
/
Seguimentos
/
Resultado do Tratamento
/
Implantação de Prótese
/
Movimentos Oculares
/
Músculos Oculomotores
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Ophthalmology
Ano de publicação:
2006
Tipo de documento:
Artigo
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