Traumatic Rupture of the Superior Oblique Muscle Tendon Resulting in Acquired Brown's Syndrome

Authors:
  • JWJane Wells
    Jane Wells
  • VPVenkatesh C. Prabhakaran
    Venkatesh C. Prabhakaran
  • DSDinesh Selva
    Dinesh Selva

Abstract
Traumatic rupture of the superior oblique tendon is a rare cause of acquired Brown's syndrome. This report describes a case of traumatic rupture of the superior oblique tendon, distal to the trochlea, after injury with a plant hook. The ruptured tendon was reapproximated. Postoperatively, asymptomatic Brown's syndrome developed, although residual function of the superior oblique muscle was retained. Full-thickness upper eyelid lacerations, especially those caused by a hook, must be explored carefully to exclude superior oblique tendon rupture. Careful reapproximation of the tendon can result in residual muscle function. [J Pediatr Ophthalmol Strabismus 2010;47:168–170.]

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