FP219 : Remarkable recovery after Superior Oblique Tendon Lengthening in a case of Brown’s syndrome

Dr.SHRUTI INDER JHAWAR, S20505

8yr old female child, came with complaint of deviation of right eye and left head tilt since childhood.On examination,she had a visual acuity of 6/6P in the right eye and 6/6 in the left eye.She had right exotropia with hypotropia.On extraocular motility(EOM) examination,right eye was not elevating in adduction,whereas elevation in abduction was normal,rest EOM in other directions in right and left eyes were free and full.Her anterior and posterior segment was normal in both eyes.FDT was strongly positive for superior oblique.Clinical diagnosis of Brown’s syndrome was made .She was advised right eye superior oblique tendon split lengthening&lateral rectus recession under general anaesthesia. She underwent the same and on post operative day 3 itself, her ocular motility was remarkable in levoelevation and was orthophoric. Brown’s syndrome is a rare form of restrictive strabismus due to tight superior oblique tendon which when lengthened gives satisfying results.