A 5-year-old girl who was born prematurely presented with limited upward gaze of her right eye. Examinations found her right inferior oblique and superior rectus muscles had limitations, while her left eye had full range of motion. She was diagnosed with Brown syndrome in her right eye along with hyperopic astigmatism in both eyes. Prescription glasses were provided and she was scheduled for follow up in 2 months.

1. Brown syndrome
Case study
Manal Al-Romeih

2. History:
5 years old girl
Preterm one of twins (7 months) at
KFSH.
Stayed in INCU 1 month.
No other medical/ ocular problems
No family history of strabismus.
Mother first noticed the problem at
the age of two.

3. Investigations:
VAsc 20/ 40 20/40+2
Anterior segment of both eyes: WNL
Retina & optic disc of both eyes: Normal
Cycloplegic retinoscopy:
+5.50 – 1.50 x 170
+6.25 – 2.25 x 10

4. Investigations:

5. Investigations:
CT
ortho @ near & distance
EOM
OD inferior oblique & superior rectus limitation
OS Full
Slight chin elevation and head tilt to the left.
No pattern.

6. Diagnosis:
Brown syndrome- congenital (OD)
with hyperopic astigmatism (OU).
Management:
PMT results of:
+3.00 -1.50 x 170 20/25
+3.00 – 2.00 x 10 20/25
Were prescribed.
F/up 2/12

7. Thank you