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Cross-sectionalIndian journal of ophthalmology · 2026

Brown syndrome surgical treatment: A comparison of three superior oblique techniques: Cross-sectional study.

Ceren Gürez, Derya Özkan Tellioğlu, Zahid Hüseyinhan, Birsen Gökyiğit

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OphthalmologyCross-sectional

Surgery for Brown syndrome greatly reduced abnormal vertical eye misalignment after one year.

Brown syndrome surgical treatment: A comparison of three superior oblique techniques: Cross-sectional study.

Ceren Gürez … Birsen Gökyiğit

Indian journal of ophthalmology · 2026

Purpose

To evaluate vertical motility development in patients with Brown syndrome who have undergone different types of superior oblique (superior oblique) muscle surgery.

Methods

A retrospective analysis was conducted on the medical records of 174 patients who underwent surgery for Brown syndrome.

n = 174 patients

Results

after surgery, the average eye misalignment dropped sharply, closer to normal

15.43Δ

Preoperative

6.85Δ

Postoperative (1 year)

More results

There were 76 male patients and 98 female patients with a mean age of 13.34 ± 5.47 (6-35 years).

Fifty-two patients received superior oblique nasal tenotomy, 56 received superior oblique temporal tenotomy, and 66 received superior oblique tendon elongation.

More results

Of the 36 patients (20.7%) who had a vertical deviation rate at the 1-year follow-up, 20 underwent the second procedure (superior oblique temporal or nasal tenotomy for hypotropia and inferior oblique anterior transposition for hypertropia), and two underwent the third procedure (inferior oblique anterior transposition for hypertropia).

“

Conclusion

The success rate was found to be higher in superior oblique tenotomies.

Brown syndrome surgical treatment: A comparison of three superior oblique techniques: Cross-sectional study.

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