Unilateral acquired Brown's syndrome in systemic scleroderma: An unusual cause for diplopia

Neelam Pawar; Meenakshi Ravindran; Renagappa Ramakrishnan; Devendra Maheshwari; Bhakti Trivedi

doi:10.4103/0301-4738.171971

Unilateral acquired Brown's syndrome in systemic scleroderma: An unusual cause for diplopia

Indian J Ophthalmol. 2015 Nov;63(11):861-3. doi: 10.4103/0301-4738.171971.

Authors

Neelam Pawar¹, Meenakshi Ravindran, Renagappa Ramakrishnan, Devendra Maheshwari, Bhakti Trivedi

Affiliation

¹ Pediatric and Squint Clinic, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India.

Abstract

Brown's syndrome can be congenital or acquired with multiple causes. It has been described as a ocular complication in various rheumatic and nonrheumatic diseases. We describe a case of 27-year-old female patient with 5 years old history of systemic scleroderma who developed vertical diplopia, a left head tilt, and restriction of left eye on elevation in adduction. The patient responded to systemic steroids with resolution of diplopia.

Publication types

Case Reports

MeSH terms

Adult
Diplopia / diagnosis
Diplopia / drug therapy
Diplopia / etiology*
Female
Glucocorticoids / therapeutic use
Humans
Ocular Motility Disorders / diagnosis
Ocular Motility Disorders / drug therapy
Ocular Motility Disorders / etiology*
Prednisolone / therapeutic use
Scleroderma, Systemic / complications*
Scleroderma, Systemic / diagnosis
Scleroderma, Systemic / drug therapy
Visual Acuity
Visual Field Tests

Substances

Glucocorticoids
Prednisolone