Brown syndrome. Selected gaze positions of a 7-year-old who was referred for a 2-year history of the left eye “moving funny.” Visual acuity was 20/20 bilaterally. The patient’s eyes were straight in primary position. The motility evaluation revealed a left hypotropia in upgaze to the right (upper left photograph). This is the pattern of a congenitally short left superior oblique tendon that is characteristic of Brown syndrome.