Surgical outcomes in correction of Brown syndrome
To evaluate the outcomes of surgery for Brown syndrome. 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 expande...
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| Veröffentlicht in: | Korean journal of ophthalmology 2006-03, Vol.20 (1), p.33-40 |
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| creator | Cho, Yoonae A Kim, Soo Graef, Michael H |
| description | To evaluate the outcomes of surgery for Brown syndrome.
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.
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%).
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. |
| doi_str_mv | 10.3341/kjo.2006.20.1.33 |
| format | Article |
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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.
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%).
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.</description><identifier>ISSN: 1011-8942</identifier><identifier>DOI: 10.3341/kjo.2006.20.1.33</identifier><identifier>PMID: 16768188</identifier><language>eng</language><publisher>Korea (South): The Korean Ophthalmological Society</publisher><subject>Adult ; Child ; Child, Preschool ; Eye Movements - physiology ; Female ; Follow-Up Studies ; Humans ; Male ; Ocular Motility Disorders - physiopathology ; Ocular Motility Disorders - surgery ; Oculomotor Muscles - physiopathology ; Oculomotor Muscles - surgery ; Ophthalmologic Surgical Procedures - methods ; Original ; Prosthesis Implantation - instrumentation ; Silicone Elastomers ; Syndrome ; Time Factors ; Treatment Outcome</subject><ispartof>Korean journal of ophthalmology, 2006-03, Vol.20 (1), p.33-40</ispartof><rights>Copyright © 2006 by the Korean Ophthalmological Society 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3093-314d4efc87a6fa1b44a7bcaaacb6159a7310bfec4e7f581cc18aa0d9814767a93</citedby><cites>FETCH-LOGICAL-c3093-314d4efc87a6fa1b44a7bcaaacb6159a7310bfec4e7f581cc18aa0d9814767a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908814/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908814/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16768188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cho, Yoonae A</creatorcontrib><creatorcontrib>Kim, Soo</creatorcontrib><creatorcontrib>Graef, Michael H</creatorcontrib><title>Surgical outcomes in correction of Brown syndrome</title><title>Korean journal of ophthalmology</title><addtitle>Korean J Ophthalmol</addtitle><description>To evaluate the outcomes of surgery for Brown syndrome.
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.
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%).
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.</description><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Eye Movements - physiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Ocular Motility Disorders - physiopathology</subject><subject>Ocular Motility Disorders - surgery</subject><subject>Oculomotor Muscles - physiopathology</subject><subject>Oculomotor Muscles - surgery</subject><subject>Ophthalmologic Surgical Procedures - methods</subject><subject>Original</subject><subject>Prosthesis Implantation - instrumentation</subject><subject>Silicone Elastomers</subject><subject>Syndrome</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1011-8942</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUDtPwzAQ9gCipbAzoUxsCb7ajZ0FCSpeUiUGYLYujl1SkrjYCaj_HleteCzfSfc97vQRcgY0Y4zD5fvKZVNK8wgZxNUBGQMFSGXBpyNyHMIqksCoOCIjyEUuQcoxgefBL2uNTeKGXrvWhKTuEu28N7qvXZc4m9x499UlYdNVPgpOyKHFJpjT_ZyQ17vbl_lDuni6f5xfL1LNaMFSBrzixmopMLcIJecoSo2IusxhVqBgQEtrNDfCziRoDRKRVoUELnKBBZuQq13ueihbU2nT9R4btfZ1i36jHNbqP9PVb2rpPtW0oDKmxICLfYB3H4MJvWrroE3TYGfcEFQuqQBRzKKQ7oTauxC8sT9HgKpttyp2q7bdRlAQV9Fy_ve5X8O-WPYNzY55KQ</recordid><startdate>20060301</startdate><enddate>20060301</enddate><creator>Cho, Yoonae A</creator><creator>Kim, Soo</creator><creator>Graef, Michael H</creator><general>The Korean Ophthalmological Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20060301</creationdate><title>Surgical outcomes in correction of Brown syndrome</title><author>Cho, Yoonae A ; Kim, Soo ; Graef, Michael H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3093-314d4efc87a6fa1b44a7bcaaacb6159a7310bfec4e7f581cc18aa0d9814767a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Eye Movements - physiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Ocular Motility Disorders - physiopathology</topic><topic>Ocular Motility Disorders - surgery</topic><topic>Oculomotor Muscles - physiopathology</topic><topic>Oculomotor Muscles - surgery</topic><topic>Ophthalmologic Surgical Procedures - methods</topic><topic>Original</topic><topic>Prosthesis Implantation - instrumentation</topic><topic>Silicone Elastomers</topic><topic>Syndrome</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, Yoonae A</creatorcontrib><creatorcontrib>Kim, Soo</creatorcontrib><creatorcontrib>Graef, Michael H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Korean journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, Yoonae A</au><au>Kim, Soo</au><au>Graef, Michael H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical outcomes in correction of Brown syndrome</atitle><jtitle>Korean journal of ophthalmology</jtitle><addtitle>Korean J Ophthalmol</addtitle><date>2006-03-01</date><risdate>2006</risdate><volume>20</volume><issue>1</issue><spage>33</spage><epage>40</epage><pages>33-40</pages><issn>1011-8942</issn><abstract>To evaluate the outcomes of surgery for Brown syndrome.
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.
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%).
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.</abstract><cop>Korea (South)</cop><pub>The Korean Ophthalmological Society</pub><pmid>16768188</pmid><doi>10.3341/kjo.2006.20.1.33</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | KoreaMed Synapse; MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adult Child Child, Preschool Eye Movements - physiology Female Follow-Up Studies Humans Male Ocular Motility Disorders - physiopathology Ocular Motility Disorders - surgery Oculomotor Muscles - physiopathology Oculomotor Muscles - surgery Ophthalmologic Surgical Procedures - methods Original Prosthesis Implantation - instrumentation Silicone Elastomers Syndrome Time Factors Treatment Outcome |
| title | Surgical outcomes in correction of Brown syndrome |
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