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Question: Which finding is MOST characteristic of Brown syndrome?
A. Limited elevation in adduction
B. Limited elevation in abduction
C. Limited depression in adduction
D. Exotropia increasing at near
Answer: A. Brown syndrome is a restrictive condition of the superior oblique tendon sheath. It presents with limited active and passive elevation in adduction due to inability of the superior oblique to lengthen during this gaze position. It’s often congenital but can be acquired.
