He paʻakikī anei ke hoʻohuli i kou mau maka i kekahi ʻaoʻao? He Brown Syndrome paha kēia!

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole hiki iā ʻoe ke neʻe pono i kou mau maka, ʻoiai ke nānā aku i luna? A i ʻole ua ʻike ʻoe i kekahi mau loli i ka neʻe ʻana o nā maka o kāu keiki liʻiliʻi? ʻOiai ʻaʻole mākou e nānā nui i kēia mau mea i kekahi manawa, hiki ke hana ʻia e kekahi mau maʻi maka. ʻĀ, ʻo kekahi ʻano maʻi e hoʻopilikia ai i ka neʻe ʻana o ka maka ʻo ia ka "Brown Syndrome", a mākou e kamaʻilio ai i kēia lā.

He aha ka "Brown Syndrome"?

I ka ʻōlelo maʻalahi, ʻo "Brown Syndrome" kahi pilikia me nā ʻiʻo a me nā ʻiʻo e kōkua i ka hoʻoneʻe ʻana i ko mākou mau maka (ʻo ia hoʻi ka ʻiʻo oblique superior a me kona tendon ). Hiki paha iā ʻoe ke lohe iā ia i kapa ʻia ʻo "superior oblique tendon sheath syndrome."

E noʻonoʻo i kēia ʻano: ua like ko kākou maka me ke kāmela. Pono ia e hiki ke hoʻohuli i nā ʻaoʻao a pau. Kōkua ʻia kēia e nā ʻiʻo liʻiliʻi a puni ka maka a me nā ʻiʻo (tendons) e hoʻopili ana iā lākou. No laila, inā ʻaʻole hana pono kēia ʻiʻo 'oblique superior' a me kona tendon, lilo ia i mea paʻakikī no ka maka ke neʻe manuahi i nā ʻaoʻao a pau.

Ua hānau ʻia kekahi poʻe me kēia ʻano. ʻO ke ʻano kēia, ʻoi aku ka pōkole a paʻa paha o ko lākou ʻiʻo oblique kiʻekiʻe i ka wā hānau. Ua kapa ʻia kēia he congenital Brown Syndrome . Eia naʻe, i kekahi manawa hiki ke ulu aʻe kēia ʻano ma hope o ke ola. ʻO kēia no ka mea ua pehu a mānoanoa paha ka ʻiʻo a i ʻole ke aʻalolo i nīnau ʻia.

Hoʻopilikia pinepine ka maʻi Brown i hoʻokahi maka wale nō (i kapa ʻia ʻo 'unilaterally'). He paʻakikī i ke kanaka me kēia maʻi ke nānā i loko a i luna i ka manawa like. Hoʻopilikia pū ia i ka mamao e hiki ai i ka maka ke neʻe i luna.

Inā paha he "Brown Syndrome" kou ma kekahi maka, hiki iā ʻoe ke ʻike me kēlā maka. Eia naʻe, ke nānā ʻoe i kekahi ʻaoʻao, ʻaʻole e neʻe kūʻokoʻa kēlā maka. Manaʻo paha ia ua paʻa ka maka , a i ʻole ʻaʻole hiki ke huli ma nā ʻaoʻao a pau ma ke ʻano maʻamau.

ʻO ka nūhou maikaʻi, hiki ke mālama ʻia kēia ʻano maʻi, i kapa ʻia ʻo "Brown syndrome," me ka lāʻau lapaʻau i kekahi manawa. Pono paha kekahi poʻe i ke ʻoki kino. Inā ʻike ʻoe i kekahi mau loli i kou mau maka a i ʻole ka ʻike ʻana, ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka a i ʻole ke kauka maka.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

He maʻi laha ʻole ka "Brown Syndrome". Akā hiki ke hiki i kekahi. Ua ʻōlelo ʻia he ʻoi aku ka maʻamau o ia i nā wahine ma mua o nā kāne.

He aha nā hōʻailona o ka maʻi "Brown Syndrome"?

Hiki i kekahi kanaka me ka "Brown syndrome" ke ʻike i nā hōʻailona e like me kēia:

• Paʻakikī ke nānā ʻana i loko (i ka ihu) a i luna: ʻO kēia ka hōʻailona nui. Hiki ke manaʻo ʻia ua paʻa ka maka.
• Ka kuhi hewa ʻana o nā maka: Me he mea lā ua huli ʻia kekahi maka ma kahi ʻokoʻa ma mua o kekahi, ʻoiai ke nānā ʻana i luna.
• ʻEha maka: Hiki i kekahi poʻe ke ʻeha i ka neʻe ʻana o ko lākou mau maka.
• He kani "kaomi ʻana" a i ʻole ka manaʻo e paʻa ana i ka neʻe ʻana o ka maka: Hōʻike kekahi poʻe i ka lohe ʻana i ke kani kaomi ʻana i ka neʻe ʻana o ko lākou maka, a i ʻole ka manaʻo e like me kahi mea i paʻa i loko.
• Ka lihilihi maka e kulou ana (`Ptosis`): ʻOi aku paha ka haʻahaʻa o ka lihilihi maka o ka maka i hoʻopilikia ʻia ma mua o kekahi maka.

I kekahi manawa, hoʻohuli ʻike ʻole ka poʻe me ka "Brown Syndrome" i ko lākou mau poʻo i kekahi ʻaoʻao. Hana ʻia kēia no ka mea ʻaʻole e neʻe manuahi ko lākou mau maka, a ma ke ʻano he pane, hoʻoneʻe maoli lākou i ko lākou poʻo i ka wā e hoʻāʻo ai e ʻike pololei.

Ma waho aʻe o kēia mau hōʻailona, ​​​​hiki i ka "Brown Syndrome" ke hoʻopilikia i kou ʻike, ʻoiai ke nānā ʻoe mai ke kāmela ma kahi o ka nānā pololei ʻana i mua.

• Ka nalowale o ka ʻike: Hiki ke emi ka ʻike ma ka maka i hoʻopilikia ʻia.
• ʻIke pālua (diplopia): ʻIke ʻana i ʻelua mau mea i ka manawa hoʻokahi. Hana pinepine ʻia kēia no ka mea ʻaʻole e kālele pono ana nā maka ʻelua.
• Ka emi ʻana o ka ʻike hohonu: Hiki ke paʻakikī ke hoʻoholo i ka mamao i nā mea. No ka laʻana, hiki i kēia ke lilo i pilikia i ka wā e piʻi ai a iho paha i nā alapiʻi a i ʻole ke kalaiwa ʻana i kahi kaʻa.

He aha ke kumu o ka "Brown Syndrome"?

ʻO ka "Brown syndrome" ke hoʻopilikia kekahi mea i nā ʻiʻo a me nā ʻiʻo (tendons) e kaohi ana i ko kākou mau maka. ʻO nā mea nui e hiki ke hana i kēia:

ʻO ka maʻi Brown hānau

ʻO kēia ke ʻano maʻamau o ka maʻi Brown. ʻO ke ʻano hānau ʻole, aia ia i ka wā hānau. No laila, hiki i kahi pēpē ke loaʻa kēia maʻi i ko lākou mau maka i ka wā hānau. ʻAʻole i loaʻa i nā loea ke kumu pololei o kēia. Malia paha ma muli o kekahi loli liʻiliʻi i ka ulu ʻana o ka maka i ka wā hāpai.

Nā maʻi autoimmune

ʻO ka maʻi autoimmune ka wā e hoʻouka hewa ai ka ʻōnaehana pale o ko mākou kino, ka ʻōnaehana e pale ai iā mākou mai ka maʻi, i nā hunaola o ko mākou kino ponoʻī. ʻAʻole maopopo loa ke kumu o kēia. ʻO kekahi mau maʻi autoimmune e hiki ai ke hoʻoulu i ka "Brown syndrome":

• Lupus
• ʻO ka ʻāʻī rheumatoid
• ʻO ka maʻi Sjögren
• ʻO ka maʻi maka thyroid a i ʻole ka maʻi dysthyroid

Hiki i kēia mau maʻi ke hoʻoulu i ka pehu ʻana o nā ʻiʻo a puni ka maka, e hoʻopilikia ana i ka hana o ka ʻiʻo oblique kiʻekiʻe.

Nā maʻi a me nā maʻi maka ʻē aʻe

Hiki i kekahi mau maʻi a me nā pilikia maka ʻē aʻe ke hoʻoulu i ka pehu a puni nā maka, e hana ana i ka "Brown syndrome." Nā laʻana:

• Nā maʻi sinus (sinusitis):Hiki i nā maʻi i loko o nā lua ea (sinuses) a puni ka ihu ke laha i ka maka a hoʻoulu i ka pehu.
• ʻO ka cellulitis orbital: He maʻi o nā ʻiʻo e hoʻopuni ana i ka iwi iwi kahi i loaʻa ai ka maka.
• Trochleitis: ʻO ka mumū o ka ʻāpana liʻiliʻi e like me ka pulley (trochlea) kahi e hele ai ke aʻalolo oblique kiʻekiʻe.
• ʻO Tenosynovitis ma ka oblique kiʻekiʻe: ʻO kēia ka mumū o ka ʻūpā e uhi ana i ke aʻalolo.

Nā ulia pōpilikia (Trauma)

I kekahi manawa, hiki ke hana ʻia ka "Brown syndrome" e nā ulia i ka maka a i ʻole nā ​​​​maka.

• Nā ʻeha maka: Kekahi mea e like me ka hahau pololei ʻana i ka maka. E noʻonoʻo, inā paʻi ʻia kekahi i ka maka e ka pōpō i ka wā e pāʻani ana i ka cricket, kekahi mea like me ia.
• Nā haki maka: Hiki i nā haki o nā iwi a puni ka maka ke hōʻino i ka ʻiʻo oblique kiʻekiʻe. Hiki ke hana kēia inā loaʻa iā ʻoe kahi ʻeha maka i kahi ulia kaʻa.
• Nā pilikia ma hope o ke ʻoki maka: Hiki ke loaʻa kēia ʻano ma ke ʻano he hopena ʻaoʻao ma hope o kekahi mau ʻoki maka, akā he mea kākaʻikahi loa ia.

Pehea e ʻike ʻia ai ka maʻi "Brown Syndrome"?

E hana kāu kauka a kauka maka paha i kahi hoʻokolokolo maka e hoʻoholo ai inā loaʻa iā ʻoe ka maʻi Brown. E nānā lākou i kou mau maka ʻoiai ʻoe e nānā pololei ana i mua a ʻoiai ʻoe e neʻe ana i kou mau maka i nā ʻaoʻao a pau. ʻO ke kikoʻī, e noi lākou iā ʻoe e nānā i luna, i lalo, ʻākau, hema, i loko, a i waho. A laila e hiki iā lākou ke ʻike inā he mau palena i kou neʻe ʻana o ka maka.

ʻAʻole wale kēlā, e nānā pū lākou i kou mau maka e nānā i nā maʻi maka ʻē aʻe e hiki ke hoʻoulu i kēia mau hōʻailona. I kekahi manawa, hiki ke hoʻohana ʻia nā lako kūikawā e ana i nā mea e like me ke kaomi maka a me ka ʻike.

Pehea e mālama ʻia ai ka "Brown Syndrome"?

ʻO ke ʻano o ka mālama ʻana no ka "Brown syndrome" e pili ana i ke kumu a me ke koʻikoʻi o nā hōʻailona.

Ka mālama ʻana i ka "Brown syndrome" hānau mua

Hiki i kekahi mau keiki i hānau ʻia me ka maʻi Brown ke ulu aʻe ma mua o ke kūlana me ka ʻole o ka lāʻau lapaʻau . Inā loaʻa i kāu keiki ka maʻi Brown, e haʻi aku kāu kauka maka iā ʻoe i ka pinepine e nānā ʻia ai ko lākou mau maka a nānā i nā loli i ko lākou mau maka. I kekahi manawa, i ka wā e ʻelemakule ai kāu keiki, e hoʻomaha iki paha ka ʻiʻo a nalowale paha ka pilikia.

ʻO ka mālama ʻana i ka "Brown Syndrome" i hoʻokumu ʻia e ka mumū

Inā loaʻa kāu mau hōʻailona ma muli o ka pehu ʻana a puni ka maka, inā paha ma muli o kahi maʻi autoimmune, ka maʻi, a i ʻole ka ulia pōpilikia, ʻo ka mālama ʻana i ke kumu kumu e hōʻemi pinepine i nā hōʻailona o "Brown syndrome."

E haʻi aku ke kauka iā ʻoe i ke ʻano o ka lāʻau e pono ai, ma muli o ke kumu o ka pehu.

Pono paha ʻoe i ka lāʻau lapaʻau e hōʻemi i ka pehu ʻana i kou ʻiʻo oblique kiʻekiʻe. ʻO nā lāʻau lapaʻau maʻamau i hoʻohana ʻia no ka maʻi Brown:

• Nā NSAID (Nonsteroidal Anti-Inflammatory Drugs): ʻO kēia nā lāʻau lapaʻau a mākou e lawe ai no ka ʻeha a me ka pehu, e like me ka aspirin, ibuprofen, a me ka naproxen. ʻOiai hiki ke kūʻai ʻia kēia mau mea ma ka hale kūʻai lāʻau lapaʻau, he mea nui e ʻimi i ke aʻo lapaʻau inā ʻoe e hoʻohana mau ana iā lākou no nā lā he 10 a ʻoi.
• Corticosteroids: I kekahi manawa e hoʻokomo paha kāu kauka i kahi corticosteroid pololei i loko o kou ʻiʻo oblique kiʻekiʻe. Hiki i kēia ke kōkua i ka hōʻemi koke ʻana i ka pehu.
• Nā lāʻau pale kino: Hiki i kāu kauka ke kuhikuhi i kēia mau lāʻau lapaʻau e pale aku i kāu ʻōnaehana pale mai ka hoʻouka ʻana i nā ʻōnaehana olakino. Hāʻawi pinepine ʻia kēia mau mea i nā poʻe me nā maʻi autoimmune.

ʻO ke ʻoki kino no ka "Brown Syndrome"

ʻAʻole pono ka hapa nui o ka poʻe me ka maʻi Brown i ke ʻoki kino. Eia nō naʻe, inā hoʻopilikia nui ke ʻano i kou ʻike, a inā ʻaʻole hoʻomaikaʻi nā lāʻau ʻē aʻe i kāu mau hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo i ke ʻoki kino e hoʻoponopono i kou ʻiʻo oblique kiʻekiʻe.

Ma muli o ke kumu o kāu "Brown Syndrome," e haʻi aku kāu kauka lapaʻau iā ʻoe i ka mea e manaʻo ai a me nā ʻano hana a lākou e hoʻohana ai. Eia kekahi laʻana:

• Tenotomy a i ʻole tenectomy: Hana ʻia kēia ʻoki e wehe i kou ʻiʻo oblique kiʻekiʻe inā paʻa a paʻa paha.
• Ke hoʻolōʻihi nei i ka oblique kiʻekiʻe: Inā pōkole loa, hiki ke hana ʻia ke ʻoki e hoʻolōʻihi iā ia.
• Ka wehe ʻana i kahi cyst: I kekahi manawa hiki ke hana ʻia kēia pilikia e kahi mea e like me kahi puʻupuʻu liʻiliʻi. I kēlā hihia, e wehe ʻia.

Mai makaʻu i ke ʻoki kino. He mau ʻoki kino holomua kēia, akā e like me nā ʻoki kino āpau, aia kekahi mau pilikia. E wehewehe pono kāu kauka iā ʻoe.

Hiki ke pale ʻia ka "Brown Syndrome"?

Ma muli o ke ʻano hānau ʻia, a i ʻole i hoʻokumu ʻia e nā maʻi hiki ʻole iā mākou ke kaohi (e like me nā maʻi autoimmune) a me nā ulia, he paʻakikī ke pale aku i ka "Brown syndrome" .

Akā, ma ke ʻano laulā, he mea nui loa ia e komo mau i nā aniani palekana a hoʻohana i nā lako pale kūpono i ka wā e hana ana ʻoe me nā mea hana a i ʻole e hana ana i kekahi hana e hiki ai ke hōʻeha i kou mau maka . Hiki i kēia ke pale aku ʻaʻole wale i ka "Brown Syndrome" akā i nā ʻeha maka ʻē aʻe he nui.

Āhea wau e nānā ai i koʻu mau maka?

ʻO ka nānā mau ʻana i kou mau maka a me kou ʻike maka e hiki ke kōkua i kāu kauka maka e ʻike i nā pilikia i ka wā mua. ʻO ka pinepine o kou nānā ʻana i kou mau maka e pili ana i kou mau makahiki:

• Nā kamaliʻi ʻōpio: E nānā ke kauka pediatric i nā maka o kāu keiki i kā lākou mau kipa olakino maʻamau - ʻoiai i nā makahiki mua, a laila ʻelua i ka makahiki.
• Nā mākua ma lalo o 40: I kēlā me kēia ʻelima a ʻumi makahiki.
• Nā pākeke ma waena o 40 a me 54 mau makahiki: I kēlā me kēia ʻelua a ʻehā mau makahiki.
• Nā mākua ma luna o 55 mau makahiki: I kēlā me kēia makahiki hoʻokahi a ʻekolu.

Inā ʻoe e komo i nā aniani maka, nā aniani hoʻopili, a i ʻole nā ​​mea kōkua ʻike maka ʻē aʻe, pono paha ʻoe e nānā pinepine i kou mau maka. Pono nō hoʻi ka poʻe me ka maʻi diabetes e nānā pinepine ʻia ko lākou mau maka ma mua o ka poʻe ma kēia papa inoa, no ka mea hiki i ka maʻi diabetes ke hoʻopilikia i nā maka.

ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke nīnau i kāu loea maka i ka pinepine o kou pono ʻana i ka hoʻokolokolo maka.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka "Brown Syndrome"?

Ke mālama ʻia ke kumu o "Brown Syndrome", pono e hoʻomaikaʻi ʻia kāu mau hōʻailona. Hiki iā ʻoe ke manaʻo i ka hoʻōla piha ʻana .

ʻO kekahi mau keiki i hānau ʻia me ka "Brown Syndrome" e ulu aʻe ma mua o ke kūlana me ka ʻole o ka lāʻau lapaʻau i ko lākou ulu ʻana.

ʻOiai inā ua hana ʻia ʻoe i ke ʻoki kino, ʻaʻohe hopena lōʻihi o ka "Brown syndrome" i kou mau maka a i ʻole ka ʻike. No laila, mai hopohopo nui e pili ana i ia mea.

Āhea wau e ʻike ai i ke kauka?

E ʻike koke i ke kauka ke ʻike ʻoe i kekahi mau loli i kou mau maka a i ʻole ka ʻike. ʻOiai inā he mea liʻiliʻi ia, hiki ke lilo i hōʻailona mua o kahi pilikia nui aʻe.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele koke i ka keʻena pilikia o ka haukapila :

• Ka nalowale koke ʻana o ka ʻike.
• ʻEha nui o ka maka.
• Inā manaʻo ʻoe e ʻike ana i nā kukui hou (`flashes`) a i ʻole nā ​​​​mea e lana ana (`floaters`) i mua o kou mau maka.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, mai poina e nīnau i nā nīnau e like me kēia:

• Loaʻa iaʻu ka "Brown Syndrome" a i ʻole kekahi maʻi strabismus ʻē aʻe?
• Pehea ka lōʻihi o koʻu mau hōʻailona?
• E pono anei iaʻu kekahi lāʻau lapaʻau?
• He aha ke kumu o ka "Brown Syndrome"?
• ʻEhia pinepine e pono ai iaʻu e nānā hou i koʻu mau maka?

Ma waho aʻe o kēia mau nīnau, e nīnau i nā kānalua a i ʻole nā ​​nīnau āu e loaʻa ai. Eia ke kauka e kōkua iā ʻoe.

He aha ka ʻokoʻa ma waena o ka "Brown syndrome" a me ka "lazy eye" (amblyopia)?

ʻO "Brown syndrome" a me "lazy eye" (amblyopia - kapa pū kekahi poʻe iā ia he "lazy eye") he mau kūlana ʻelua e hoʻopilikia pinepine i hoʻokahi maka. Akā ʻo ka ʻokoʻa ma ka mea e hana maoli ana i ka maka a i ʻole ka ʻike.

ʻO "Brown syndrome," e like me kā mākou i kūkākūkā ai ma mua, he pilikia ia me kahi ʻiʻo a i ʻole ke aʻalolo e hoʻoneʻe ai i ka maka. ʻO kēia ka mea e paʻakikī ai ke hoʻohuli i ka maka i nā ʻaoʻao āpau. ʻOiai hiki iā ia ke hoʻopilikia i ka ʻike, ʻaʻole ia he maʻi o loko o ka maka.

ʻO ke ʻano i kapa ʻia ʻo "maka palaualelo" (`amblyopia`) e ulu ana i ka wā kamaliʻi. Inā loaʻa i kāu keiki ka `amblyopia`, aʻo ko lākou lolo e hoʻowahāwahā i ke kiʻi e puka mai ana mai ka maka kūpono ʻole a palaualelo paha. Akā, hoʻohana wale ka lolo i ke kiʻi e puka mai ana mai ka maka ikaika aʻe, e ʻae ana i ka ʻike ʻana i ka maka nāwaliwali e ʻoi aku ka ʻino. I ka ʻōlelo maʻalahi, ua "palaualelo" kekahi maka no ka mea ʻaʻole hoʻohana pono ka lolo iā ia.

ʻO ka mea nui, hiki i nā keiki i hānau ʻia me ka maʻi Brown ke loaʻa i ka amblyopia ma hope o ke ola. No laila, he mea nui e ʻike koke i ke kauka a i ʻole ophthalmologist inā ʻike ʻoe i kekahi mau loli i nā maka o kāu keiki.

He aha ka ʻokoʻa ma waena o ka "Brown Syndrome" a me ka strabismus (nā maka keʻa)?

ʻO Strabismus kahi ʻano i kūlike ʻole ai kou mau maka. I nā huaʻōlelo ʻē aʻe, ua huli ʻia kekahi maka i kahi ʻaoʻao ʻē aʻe ma mua o kekahi. ʻO kēia ka mea a mākou e kapa nei he "maka keʻa" ma nā huaʻōlelo maʻamau.

ʻO ka "Brown syndrome" he ʻano strabismus maoli nō ia. E ʻike maopopo ʻoe iā ia ke nānā ʻoe i loko a i luna paha. E like me kekahi o kou mau maka ʻaʻole e neʻe nui ana e like me kekahi (a ʻaʻole paha).

Ma muli o ka nui o ka pōʻino i hana ʻia i nā ʻiʻo a me nā aʻa o kou maka, hiki ke kuhi hewa iki ʻia kou mau maka ʻoiai ke nānā pololei nei ʻoe i mua.

ʻO ka ʻike ʻana i kahi mea e like me ke kū piha ʻana o ka neʻe ʻana o ka maka, a i ʻole ke aʻo ʻana he maʻi hānau ʻia kāu pēpē, hiki ke hopohopo maoli. He mea maʻamau kēlā. Akā ʻo ka nūhou maikaʻi, ʻoiai ke kumu o ka "Brown syndrome," he pilikia manawa pōkole ia. ʻO ka ʻoiaʻiʻo, ʻaʻole pono ʻoe a i ʻole kāu keiki i kekahi lāʻau lapaʻau kūikawā ma mua o nā kipa mau ʻana i ka loea maka.

No laila, inā ʻike ʻoe i kekahi mau loli i kou mau maka a i ʻole ka ʻike, mai hoʻowahāwahā iā ia a e ʻike koke i ke kauka a i ʻole ke kauka maka. E hoʻomanaʻo i kekahi manawa, ʻoiai kahi loli liʻiliʻi hiki ke lilo i hōʻailona mua o kahi pilikia nui e pono ai ke mālama koke ʻia.

Nā mea e hoʻomanaʻo ai mai kēia ʻatikala (Leka Lawe-Home)

ʻAe, i kēia manawa ua maopopo iā ʻoe ka "Brown Syndrome" a mākou i kamaʻilio ai. Eia kekahi mau mea e hoʻomanaʻo ai:

• ʻO ka "Brown syndrome" kahi kūlana e paʻakikī ai ka maka e neʻe manuahi (ʻoi aku hoʻi i loko a i luna) ma muli o kahi pilikia me ka ʻiʻo oblique superior a i ʻole ke aʻalolo e hoʻoneʻe ai i ka maka.
• Hiki ke loaʻa kēia i ka wā hānau, a i ʻole hiki ke ulu aʻe ma hope ma muli o nā maʻi, nā maʻi autoimmune, a i ʻole nā ​​​​ulia.
• ʻO ka hōʻailona nui ka manaʻo o ka ʻūmiʻi i ka nānā ʻana i luna a me ka hoʻohuli ʻana i ka ihu i ka ʻaoʻao. Hiki nō hoʻi ke ʻike pālua a me ka ʻeha o ka maka.
• ʻO ka hapa nui o ka manawa, hoʻokahi wale nō maka e pili ai kēia maʻi.
• I kekahi manawa, hoʻopau wale nā ​​maʻi hānau ʻia i ka wā e ulu ana ke keiki. Hiki ke mālama ʻia nā kumu ʻē aʻe (me ka lāʻau lapaʻau a i ʻole, kākaʻikahi, ke ʻoki kino).
• Inā he mau hopohopo a loli paha kou i ka neʻe ʻana o kou mau maka a i ʻole ka ʻike ʻana o kāu keiki, e ʻike pono i ke kauka maka . ʻOi aku ka maikaʻi o ka ʻike mua ʻana a me ka mālama ʻana.

ʻAʻohe mea e makaʻu ai, aia nā lāʻau lapaʻau maikaʻi no kēia maʻi, a i ka hapanui o nā hihia hiki ke ho'ōla loa ʻia!

ʻO ka Brown Syndrome, nā pilikia o ka neʻe ʻana o ka maka, nā maʻi maka, ka hewa o ka maka, nā maʻi maka o nā keiki, Superior Oblique