—I was delighted to read Dr Beisner's letter in reference to his treatment of a case of acquired Brown's syndrome with steroids injected into the trochlear area. From his description and the symptoms, his case would certainly fit into the category of inflammatory origin. Thus far, his is the only other reported case of this kind, to my knowledge, that has been treated with locally injected steroids.I suspect that there must be many other unreported cases of this entity, although I have spoken to many ophthalmologists who specialize in the field of strabismus, and none of these physicians had seen a similar case.I cannot understand why this entity was so common in the British Isles based on the articles of Sanford-Smith1-3 and why it should be still rare here in the United States.I think it is a great service to print letters such as
Hermann JS. Acquired Brown's Syndrome of Inflammatory Origin-Reply. Arch Ophthalmol. 1979;97(1):173. doi:10.1001/archopht.1979.01020010095026
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