DR. JUSTIN PRASHANTH

DR. RENUKA SRINIVASAN

Abstract

Brown’s syndrome is caused by congenital disinnervation of the superior oblique tendon. A 14 year old male child came to the OPD with C/O defective vision in right eye which he had noticed for the past 4 years. It was also associated with defective movements of the right eye with mild restricition of elevation of the right eye since birth. On examination, BCVA in RE was 6/24 and in LE was 6/6. There was mild head turn to left, no chin lift. Facial symmetry was normal. On primary gaze there was mild hypertropia of the left eye. On eliciting the extraocular movements there was restriction of elevations in right eye with maximum restriction of elevation on adduction with corresponding overaction of left eye. There was also associated depression on adduction of right eye. Anterior segment and fundus in both eyes were normal. FDT showed mild restriction of elevation on adduction in RE leading to diagnosis of Brown’s syndrome. This case is being reported for the rarity of its presentation.