Congenital Brown’s Syndrome Treated With Exaggerated Traction Testing Alone

Citation

Squirrell D, Lewis G & Burke JP (2005) Congenital Brown’s Syndrome Treated With Exaggerated Traction Testing Alone. Journal of American Association for Pediatric Ophthalmology and Strabismus, 9 (4), pp. 398-399. https://doi.org/10.1016/j.jaapos.2005.02.012

Abstract
We describe a patient with a longstanding true congenital Brown’s syndrome who presented with workplace-induced asthenopic symptoms and pain on sustained ocular elevation. We describe the successful alleviation of his symptoms, normalization of his ocular motility, and restoration of his field of binocular single vision using Guyton’s exaggerated traction test with a post-traction steroid injection as the sole therapeutic intervention. We briefly discuss from first principles why we think the intervention was successful. We also outline what role we feel this intervention may have as a therapeutic modality for patients’ with true congenital Brown’s syndrome.

Journal
Journal of American Association for Pediatric Ophthalmology and Strabismus: Volume 9, Issue 4