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  • Title: Traumatic rupture of the superior oblique muscle tendon resulting in acquired Brown's syndrome.
    Author: Warrier S, Wells J, Prabhakaran VC, Selva D.
    Journal: J Pediatr Ophthalmol Strabismus; 2010; 47(3):168-70. PubMed ID: 20507002.
    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.
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