학술논문
A Case of Acquired Brown Syndrome after Surgical Repair of a Medial Orbital Wall Fracture
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- 영문명
- 발행기관
- 대한안과학회
- 저자명
- Il-Hun Seo Jay-Won Rhim Young-Woo Suh Yoonae A. Cho
- 간행물 정보
- 『The Korean Journal of Ophthalmology』Vol.24 No.1, 53~56쪽, 전체 4쪽
- 주제분류
- 의약학 > 기타의약학
- 파일형태
- 발행일자
- 2010.02.28
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국문 초록
영문 초록
A case of acquired Brown syndrome caused by surgical repair of medial orbital wall fracture is reported in the present
paper. A 23-year-old man presented at the hospital with right periorbital trauma. Although the patient did not
complain of any diplopia, the imaging study revealed a blow-out fracture of the medial orbital wall. Surgical repair
with a calvarial bone autograft was performed at the department of plastic surgery. The patient was referred to the
ophthalmologic department due to diplopia that newly developed after surgery. The prism cover test at distant fixation
showed hypotropia of the right eye, which was 4 prism diopters (PD) in primary gaze, 20 PD in left gaze, while
orthophoric in right gaze. Eye movement of the right eye was markedly limited on elevation in adduction with normal
elevation in abduction with intorsion in the right eye present. Forced duction test of the right eye showed restricted
elevation in adduction. Computerized tomography scan of the orbits showed the right superior oblique muscle was
entrapped between the autografted bone fragment and posterior margin of the fracture. When repairing medial orbital
wall fracture that causes Brown syndrome, surgeons should always be careful of entrapment of the superior oblique
muscle if the implant is inserted without identifying the superior and posterior margin of the orbital fracture site.
목차
Case Report
Discussion
References
키워드
해당간행물 수록 논문
- Incidence of Calcification of the Trochlear Apparatus in the Orbit
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