- Journal of Pediatric Ophthalmology and Strabismus
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.
From the South Australian Institute of Ophthalmology and the Department of Ophthalmology & Visual Sciences, University of Adelaide, South Australia, Australia.
The authors have no financial or proprietary interest in the materials presented herein.
Address correspondence to Sunil Warrier, MBBS, Department of Ophthalmology & Visual Sciences, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia 5000, Australia.