Surgery: Scar Tissue Removal as a Surgical Option for Pseudo Brown Syndrome

A two-year-old with a history of cerebral palsy and previous surgery for esotropia was presented with a Pseudo-Brown Syndrome. The surgical plan was to perform a superior oblique tenotomy and possible scar tissue removal. Dr. O’Halloran removed the scar tissue and isolated the superior rectus and superior oblique tendon for a possible superior oblique tenotomy. After the scar tissue removal, the eye had no superior oblique tendon restriction and Dr O’Halloran, decided not to proceed with the planned procedure. The potential torsional double vision after a tenotomy was also discussed.

Surgery Location: on-board the Orbis Flying Eye Hospital, Ulaanbaatar, Mongolia
Surgeon: Dr. Harry O’Halloran, Rady Children’s Hospital, San Diego, USA