Dr.Ashish Doshi

DR. KALYANI DIWALE, Dr.SHRADDHA SETH, DR. KALYANI DIWALE, Dr. PRACHI AGASHE

Abstract

Aim: To present the video of split tendon lengthening of superior oblique in a case of Brown’s syndrome

Case: 8yr old, male presented with squint and inability to move the right eye upwards since infancy. There was 45 PD of hypotropia in right eye with limited elevation on adduction (-3). Limited elevation in straight up-gaze and abduction was also present with downshoot on adduction with associated ptosis. FDT for IR was positive, FGT for SO demonstrated good tug. It was a case of right eye Brown’s syndrome. Supero-temporal fornix conjunctival incision was made to approach SO. Swan incision was made to approach IR. Superior oblique split tendon lengthening was performed along with IR recession (semi-adjustable) .postoperatively, patient had small residual Rt hypotropia with abolition of downshoot and improved elevation. Conclusion: SO split tendon lengthening is a good surgical option for Brown’s syndrome with good long-term outcome.