Afilamiento del oblicuo superior en el síndrome de Brown «Plus». Resultados.
- P. Merino Sanz 12
- P. Gómez de Liaño Sánchez 2
- I. Valls Ferrán 2
- I. Villarejo Díaz-Maroto 2
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1
Universidad Complutense de Madrid
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2
Hospital General Universitario Gregorio Marañón
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ISSN: 0365-6691
Any de publicació: 2000
Volum: 75
Número: 1
Pàgines: 29-34
Tipus: Article
Altres publicacions en: Archivos de la Sociedad Española de Oftalmologia
Resum
Purpose: To study the results found in patients with congenital and constant Brown’s Syndrome who were surgically treated with superior oblique sharpening technique. Method: Nine patients were selected among nineteen cases diagnosed of Brown’s Syndrome in our Department for 4 years. Indications for surgery were vertical deviation in primary position and/or torticollis. The procedure of choice was the superior oblique sharpening in all cases, associated to its recession in 3 patients. Results: The limitation of elevation in adduction was notably marked in 100% of the cases, improving in all of them, except in one patient (11.1%) after surgery. The preoperative hypotropia presented in 7 cases (77.8%) was resolved in 5 (71.42%) after the intervention. The initial torticollis had the same incidence than the hypotropia (77.8%: 7/9), but it completely resolved in 3 cases, and improved in 3 other with this technique. Binocular vision was recovered in 2 patients. Overall, 2 out of the 9 cases (22.22%) did not clinically improve. Intraoperative and postoperative complications were not observed, except a temporary superior oblique palsy that resolved without surgery. Conclusions: The superior oblique sharpening is a good technique which may improve the Brown Syndrome patients with primary position deviation and/or torticollis.