Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
권호 표지

Acquired Brown Syndrome After Retinal Detachment Surgery

망막박리 수술 후 발생한 브라운증후군 1예

Moon, Kun;Kim, Jin-Hee;Lee, Se-Youp
문건;김진희;이세엽

  • Published : 20060000
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Abstract

Purpose: To report a case of acquired Brown syndrome found in the left eye of a female patient who had undergone surgery for proliferative vitreoretinopathy. Methods: A 41-year-old female patient presented with right hypertropia and esotropia. We reviewed her history, conducted an ophthalmic examination and performed surgery. Results: Prior to presentation, the patient experienced a sudden decrease in visual acuity. She was diagnosed with proliferative vitreoretinopathy caused by rhegmatogenous retinal detachment, and underwent scleral buckling. After surgery, with the eye in the primary position, the right hypertropia was 9 prism diopters and the esotropia was 30 prism diopters. The patient was unable to elevate the eye in the adducted position. A forced duction test was performed and we detected a restricted elevation in adduction. By performing a tenectomy of the superior oblique muscle and a recession of the medial rectus muscle, orthophoria was obtained in the primary position, and the elevation in adduction improved. Conclusions: Herein, we report satisfactory results of a procedure in one case of acquired Brown syndrome following retinal detachment surgery.

목적 : 증식유리체망막병증으로 수술받은 여자 환자에서 좌안 후천브라운증후군을 경험하였기에 보고하고자 한다. 대상과 방법 : 우안 상사시 및 내사시를 주소로 내원한 41세 여자환자를 대상으로 병력청취, 안검사 및 수술을 시행하였다. 결과 : 좌안에 갑자기 발생한 시력저하로 내원하여 열공망막박리에 의한 증식유리체망막병증 진단 후 공막돌륭술을 시행받았다. 술 후 환자는 일차안위에서 9프리즘디옵터의 우안 상사시, 30프리즘디옵터의 내사시를 보였다. 단안 검사상 좌안 내전시 상전장애를 보였고 사시수술 중 시행한 견인검사에서도 내상전 제한을 보였다. 좌안 상사근힘줄절제술 및 양안 내직근후전술을 시행하여 일차안위에서 정위를 보였고, 내전시 상전 제한이 호전되었다. 결론 : 저자들은 망막박리 수술 후 발생한 후천브라운증후군 1예를 수술하여 만족할 만한 결과를 보였기에 보고하는 바이다.

Keywords

References

  1. Metz HS, Norris A. Cyclotorsional diplopia following retinal detachment surgery. J Pediatr Ophthalmol Strabismus 1978;24:287-90
  2. Parks MM, Brown M. Superior oblique tendon sheath syndrome of Brown. Am J Ophthalmol 1975;79:82-6 https://doi.org/10.1016/0002-9394(75)90460-2
  3. Kanski JJ, Elikington AR, Davies MS. Diplopia after retinal detachment surgery. Am J Ophthalmol 1973;76:38 https://doi.org/10.1016/0002-9394(73)90007-X
  4. Price RL, Pederzolli A. Strabismus following retinal detachment surgery. Am Orthopt J 1982;32:9-17 https://doi.org/10.1080/0065955X.1982.11982544
  5. Roth AM, Sypnicki BA. Motility dysfunction following surgery for retinal detachment. Am Orthopt J 1975;25:118-21 https://doi.org/10.1080/0065955X.1975.11982382
  6. William E, Smiddy, Donna L, et al. Extraocular muscle imbalance after scleral buckling surgery. Ophthalmology 1989;96:1485-90 https://doi.org/10.1016/S0161-6420(89)32701-1
  7. Jo SH, Lee JG, Lee JH, et al. A case of acquired Brown syndrome following scleral buckling. J Korean Ophthalmol Soc 2003;44:1712-6
  8. Crawford JS. Surgical treatment of true Brown syndrome. Am J Ophthalmol 1976;81:289-95 https://doi.org/10.1016/0002-9394(76)90242-7
  9. Sandford-Smith JH. Superior oblique tendon sheath syndrome and its relationship to stenosing tenosynovitis. Br J Ophthalmol 1973;57:859-65 https://doi.org/10.1136/bjo.57.11.859
  10. Dobler AA, Sondhi N, Cantor LB, et al. Acquired Brown's syndrome after double-plate Molteno implant. Am J Ophthalmol 1993;116:641-2 https://doi.org/10.1016/S0002-9394(14)73209-X
  11. Coleman AL, Hill R, Wilson MR, et al. Initial clinical experience with the Ahmed glaucoma valve implant. Am J Ophthalmol 1995;120:23 https://doi.org/10.1016/S0002-9394(14)73755-9
  12. Leen MM, Witkop GS, George DP. Anatomic considerations in the implantation of the Ahmed glaucoma valve. Arch Ophthalmol 1996;114:223-4 https://doi.org/10.1001/archopht.1996.01100130217023
  13. Flynn JT, Mitchell KB, Fuller DG, et al. Ocular motility complications following intranasal surgery. Arch Ophthalmol 1979;97:453-8 https://doi.org/10.1001/archopht.1979.01020010203002
  14. Rosenbaum AL, Astle WF. Superior oblique and inferior rectus muscle injury following frontal and intranasal sinus surgery. J Pediatr Ophthalmol Strabismus 1985;22:194-202
  15. Wesley RE, McCord CD. Tension pneumocephalus from orbital roof fracture. Ann Ophthalmol 1982;14:184-5
  16. Prata JA Jr, Minckler DS, Green RL. Pseudo-Brown's syndrome as a complication of glaucoma drainage implant surgery. Ophthalmic Surg 1993;24:608-11
  17. Kooner KS, Cavanagh HD, Zimmerman CF, et al. Eye movement restrictions after Molteno implant surgery. Ophthalmic Surg 1993;24:498-9
  18. Kim WW, Yang HW, Lee HC. Strabismus with ocular motility disturbance after Molteno implant. J Korean Ophthalmol Soc 2002;43:230-4
  19. Munoz M, Rosenbaum AL. Longterm strabismus complications following retinal detachment surgery. J Pediatr Ophthalmol Strabismus 1987;24:309-14
  20. Santiago AP, Rosenbaum AL. Clinical Strabismus Management, 1st ed. Philadelphia: W.B. Saunders Company, 1999;296-308
  21. Romaine HH. Motility complications in buckling procedures. Trans Am Acad Ophthalmol 1961;65:718-23
  22. Lowe RF. Bilateral superior oblique tendon sheath syndrome. Occurrence and spontaneous recovery in one of uniovular twins. Br J Ophthalmol 1969;53:466-71 https://doi.org/10.1136/bjo.53.7.466
  23. Von Noorden GK. Olivier P. Superior oblique tenectomy in Brown syndrome. Ophthalmology 1982;89:303-9 https://doi.org/10.1016/S0161-6420(82)34787-9