Strabismus pp 247-249 | Cite as

Brown Syndrome

  • Burton J. Kushner


When an eye is in adduction and the superior oblique muscle (SO) contracts, the eye depresses because the SO inserts posterior to the center of rotation. Conversely, when an eye with a normal SO elevates in adduction, the SO insertion moves posteriorly, pulling the SO tendon through the trochlea. If the SO is tight, it cannot pass through the trochlea due to swelling or anatomic variants or, possibly, if the insertion is anomalous the eye cannot elevate in adduction. This is the clinical manifestation of Brown syndrome.


Brown syndrome V-pattern 


  1. 1.
    Dawson E, Barry J, Lee J. Spontaneous resolution in patients with congenital Brown syndrome. J AAPOS. 2009;13:116–8.CrossRefGoogle Scholar
  2. 2.
    Larson SA, Weed M. Brown syndrome outcomes: a 40-year retrospective analysis. J AAPOS. 2015;19:e14.CrossRefGoogle Scholar
  3. 3.
    Brown HW. True and simulated superior oblique tendon sheath syndromes. Doc Ophthalmol. 1973;34:123–36.CrossRefGoogle Scholar
  4. 4.
    Parks MM, Eustis HS. Simultaneous superior oblique tenotomy and inferior oblique recession in Brown's syndrome. Ophthalmology. 1987;94:1043–8.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Burton J. Kushner
    • 1
  1. 1.Department of Ophthalmology and Visual SciencesUniversity of Wisconsin-MadisonMadisonUSA

Personalised recommendations