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June 1960

Tendon Sheath Syndrome: A Report of Two Cases

Author Affiliations

From the Ophthalmology Service, U.S. Naval Hospital.

AMA Arch Ophthalmol. 1960;63(6):997-1000. doi:10.1001/archopht.1960.00950020999015

The ocular syndrome now frequently designated as the "superior oblique tendon sheath syndrome" was first suspected by H. D. Brown in 1944 during his examination of a woman patient at the Brooklyn Eye and Ear Hospital. In November of 1945 during the course of an operation in another case of this kind Brown found a congenitally short superior oblique tendon. Then, in 1950, Brown1 presented at the Strabismus Ophthalmic Symposium in Iowa City the cardinal characteristics of this complex. This was followed in 1951 by his published report2 of several such cases.

Girard,3 in 1956, suggested the term "pseudoparalysis of the inferior oblique muscle" for this entity, reported a case of this kind which recovered spontaneously, and divided these patients into four groups, i.e., Type 1 due to a congenital retraction of the tendon sheath of the ipsilateral superior oblique (the "superior oblique tendon sheath syndrome of

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