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J Pediatr Ophthalmol Strabismus. 2010 May-Jun;47(3):168-70. doi: 10.3928/01913913-20100505-08. Epub 2010 May 20.

Traumatic rupture of the superior oblique muscle tendon resulting in acquired Brown's syndrome.

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South Australian Institute of Ophthalmology, Department of Ophthalmology & Visual Sciences, University of Adelaide, and Royal Adelaide Hospital, Adelaide, South Australia, Australia.


Traumatic rupture of the superior oblique tendon is a rare cause of acquired Brown's syndrome. This report describes a case of traumatic rupture of the superior oblique tendon, distal to the trochlea, after injury with a plant hook. The ruptured tendon was reapproximated. Postoperatively, asymptomatic Brown's syndrome developed, although residual function of the superior oblique muscle was retained. Full-thickness upper eyelid lacerations, especially those caused by a hook, must be explored carefully to exclude superior oblique tendon rupture. Careful reapproximation of the tendon can result in residual muscle function.

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