Brown syndrome is designated by the inability of the eye to look up, when in adduct position
Brown syndrome is designated by the inability of the eye to look up, when in adduct position (near the nose).
The syndrome is usually congenital but may occur after inflammation, trauma or even automatically. The main problem lies in the superior oblique occulomotor muscle, which cannot be loosened due to the increased tension of the tendon.
Parents observe that when the child looks up, one eye is higher than the other. In fact they think the abnormal eye is the one looking higher, when in fact it is the one looking down.
The treatment of this syndrome is surgery and is suitable particularly when the child is forced to adopt a compensatory head position, which
creates a serious cosmetic problem. However, most cases are minor and don’t require treatment.