Astigmatism in unilateral coronal synostosis: Incidence and laterality

Levy, R.; Rogers, Gary F.; Mulliken, John B.; Proctor, Mark R.; Dagi, Linda R.

doi:10.1016/j.jaapos.2007.02.017

Cited by 47 publications

(54 citation statements)

References 23 publications

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“…Twenty-six percent had exodeviation, 14 % had an esodeviation and 5 % had a vertical deviation. Nine patients (10 %) had anisoastigmatism of 1D or more, which is lower than that reported in prior studies focusing solely on unilateral coronal synostosis [29,30]. Patients had pre-and post-operative ophthalmic exams, and the authors did not report any changes in the strabismus or refractive error following expansion cranioplasty.…”

Section: Ocular Findings In Non-syndromic Single Suture Craniosynostosismentioning

confidence: 54%

“…Recently, Levy et al described a group of 39 patients with unilateral coronal synostosis demonstrating a novel finding of significant astigmatism in the eye contralateral to the synostosis [29]. Fifty-four percent (21/39) of the patients presented with 1.00 D or greater astigmatism in at least one of their eyes.…”

Section: Refractive Error In Unicoronal Synostosismentioning

confidence: 99%

“…As for management of refractive issues, specifically patients who suffer from unicoronal craniosynostosis, physician-investigators from both groups have studied the effect of the timing of fronto-orbital advancement [29,30]. Neither group found a significant relation between the timing of fronto-orbital advancement and whether amblyogenic anisometropia occurred.…”

Section: Refractive Error In Unicoronal Synostosismentioning

confidence: 99%

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Newer Understanding of Eye Issues in Craniofacial Malformations

Collins

2015

Curr Ophthalmol Rep

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Pediatric patients with craniofacial abnormalities face unique challenges requiring early intervention and longitudinal care for their ocular and systemic problems. Non-syndromic and syndromic craniosynostoses involve asymmetric development of the cranial vault and facial bones, which frequently leads to ophthalmic manifestations, including strabismus, refractive error, and visual field losses. In recent years, ophthalmologists, craniofacial surgeons, and pediatricians involved in caring for craniosynostosis patients have found that timely surgery and monitoring, using refined devices such as spectral-domain optical coherence tomography, can lead to improved quality of life and prognosis for these patients. We review relevant literature from the past 5 years describing and managing ocular symptoms of craniosynostosis.

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Section: Ocular Findings In Non-syndromic Single Suture Craniosynostosismentioning

confidence: 54%

Section: Refractive Error In Unicoronal Synostosismentioning

confidence: 99%

Section: Refractive Error In Unicoronal Synostosismentioning

confidence: 99%

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Newer Understanding of Eye Issues in Craniofacial Malformations

Collins

2015

Curr Ophthalmol Rep

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“…The features of craniosynostosis are strikingly similar to those of DP. For unilateral coronal craniosysnostosis (UCS), the following features are observed: ipsilateral frontal bone flattening with elevation and retrusion of the superior orbital rim, forehead bossing, anterior and inferior displacement of the contralateral superior orbital rim, deviation of the nasal root toward the fusion, and rotation of the middle and lower face to the contralateral side [14]. For ULS, the characteristic features are skull tilting, mastoid bossing, and a parallelogram shape with or without asymmetric cranial height.…”

Section: Discussionmentioning

confidence: 99%

“…Although ULS often presents with the ipsilateral ear displaced in the posterior and inferior directions, while DP presents with the ipsilateral ear displaced in the anterior direction, differentiating these 2 diseases based on ear position seems unreliable [10]. The treatments for both UCS and ULS are surgical: fronto-orbital advancement or strip craniectomy [14] and barrel-stave craniectomy, respectively.…”

Section: Discussionmentioning

confidence: 99%

Aesthetic Correction of Severe Facial Asymmetry in a Deformational Plagiocephaly Patient: A Case Report and Literature Review

Park

Kim

Lee

et al. 2017

Arch Aesthetic Plast Surg

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Postoperative helmet therapy following fronto‐orbital advancement and cranial vault remodeling in patients with unilateral coronal synostosis

Wolfswinkel

Sanchez‐Lara

Jacob

et al. 2021

American J of Med Genetics Pt A

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Out of all the synostotic corrective surgeries, fronto-orbital advancement and cranial vault remodeling for patients with unilateral coronal synostosis is one of the hardest to maintain symmetric and proportional correction without some amount of relapse.Over the course of 20 years operating on these patients, the senior author has made multiple adjustments to compensate for relapse asymmetry, including overcorrection on the affected side, increased points of fixation, periosteal release, and scalp expansion with galeal scoring to minimize tension of the closure. As a result of these interventions, we have seen improved immediate results following surgery. However, we have continued to note clinically significant relapse postoperatively. As such, we have started to implement postoperative helmet therapy (PHT) to help maintain the surgical correction, improve secondary brachycephaly, and increase overall symmetry.PHT is a reasonable low-risk complement to fronto-orbital advancement and cranial vault remolding. Clinically, PHT appears to help minimize relapse and improve overall head symmetry. Further investigation and increased patient enrollment are required to determine the true benefits of PHT in this patient population.

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Astigmatism in unilateral coronal synostosis: Incidence and laterality

Cited by 47 publications

References 23 publications

Newer Understanding of Eye Issues in Craniofacial Malformations

Newer Understanding of Eye Issues in Craniofacial Malformations

Aesthetic Correction of Severe Facial Asymmetry in a Deformational Plagiocephaly Patient: A Case Report and Literature Review

Postoperative helmet therapy following fronto‐orbital advancement and cranial vault remodeling in patients with unilateral coronal synostosis

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