Visual outcomes and amblyogenic risk factors in craniosynostotic syndromes: a review of 141 cases

Khan, Shabeena; Nischal, Kanwal; Dean, F; Hayward, Richard; Walker, Jimmy R.

doi:10.1136/bjo.87.8.999

Cited by 103 publications

(88 citation statements)

References 20 publications

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“…[8][9][10] The aim of this study was to assess visual function more widely in children with singlesuture non-syndromic craniosynostosis. More specifically, we investigated the impact of the early fusion of a specific cranial suture on various aspects of visual function involved in everyday life, such as eye movements, acuity, visual field, and visual attention.…”

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confidence: 99%

Visual function in infants with non‐syndromic craniosynostosis

Ricci

Vasco

Baranello

et al. 2007

Develop Med Child Neuro

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The aim of this study was to assess various aspects of visual function in children with single‐suture, non‐syndromic craniosynostosis. Thirty‐eight infants (28 males, 10 females; age range 3.5–13mo, mean age 7mo, 11 with plagiocephaly, 12 with trigonocephaly, and 15 with scaphocephaly), were assessed with a battery of tests specifically designed to assess various aspects of visual function in infancy. Thirty‐two of the 38 infants had at least one abnormality on one of the aspects of visual function assessed. Abnormal eye movements were found in eight infants of the whole cohort and were mainly found in infants with plagiocephaly (6/11), who also had frequent visual field abnormalities (5/11). In contrast, fixation shift, an aspect of visual function related to the integrity of parietal lobes, was more frequently abnormal in patients with scaphocephaly. Our results suggest that the presence and severity of visual impairment is related to the type of craniosynostosis. Follow‐up studies after surgical correction are needed to evaluate the possible beneficial effects of reconstructive surgery on visual function.

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confidence: 99%

Visual function in infants with non‐syndromic craniosynostosis

Ricci

Vasco

Baranello

et al. 2007

Develop Med Child Neuro

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“…Craniofacial anomalies are associated with an increased incidence of ocular deviations 11 ranging between 40% to 60%. 12,13 In a study done by Tan et al 14 on 40 patients with craniosynostosis, 60% of the patients in that study group were found to have ocular deviations. In that study exotropia was more common than esodeviations, though various other studies have shown the incidence of esodeviations compared to exodeviations to be roughly equal.…”

Section: Resultsmentioning

confidence: 99%

“…Craniofacial anomalies are associated with an increased incidence of ocular deviations 11 ranging between 40% to 60%. 12,13 In a study done by Tan et al on 40 patients with craniosynostosis, 60% of the patients in that study group were found to have ocular deviations.…”

Section: Resultsmentioning

confidence: 99%

Ocular Manifestation in Patients With Craniofacial Anomalies - A Hospital Based Study

M¹,

Shetty²,

Pai³

2016

jemds

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BACKGROUND Ocular manifestations in Children with Craniofacial Anomalies are an important but easily overlooked part as the patient and his family tends to be more focused on the more visible cosmetic disfigurement. The disfigurement while may be corrected in the hands of a competent surgeon at a later date, more lasting harm may be done to the patient's well-being if simple correctable refractive or other ocular conditions are left too late. This study was done to detect ocular involvement in patients with craniofacial anomalies and also to emphasise importance of routine ophthalmic examination in these patients. MATERIALS AND METHODSThis was a cross-sectional observational type of study. Study duration was dated from dated from November 2012 to October 2014. All patients who presented to the Department of Ophthalmology of Justice KS Hegde Medical College Hospital, Mangalore with craniofacial anomalies were included in this study. All patients with CFA were included in the study irrespective of age of presentation, gender or history of previous corrective surgery. The patients were evaluated at the time of presenting to the Department of Ophthalmology of Justice KS Hegde Medical College, Mangalore. Duration of this study was dated from November 2012 to October 2014. RESULTSOut of the 151 patients screened, 47.68 % (n=72) of the patients had one or the other forms of ocular anomalies. Patients with craniosynostosis had 100% ocular involvement (n=39). In patients with clefting syndrome, 29.46% of the patients had ocular involvement (n=33). Refractive error was most common ocular anomaly detected in our study. 49.01% of the patients in our study had refractive error out of which 22.51% of the patients were hypermetropes. CONCLUSIONFindings in our study suggest that there are numerous ocular associations in patients with craniofacial anomalies. A routine ophthalmic evaluation would help in early diagnosis of these ocular conditions and early management which would greatly benefit the patient.

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“…Abnormal eye movements have been well documented previously in both syndromic and non-syndromic synostoses 1 and have less to offer clinically in terms of raising the suspicion of a Commentary Is non-syndromic single suture craniosynostosis purely an aesthetic problem?…”

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confidence: 99%

“…There is good evidence that patients with syndromic craniosynostoses suffer functional damage as well as aesthetic problems. [1][2][3] Syndromic craniosynostoses are often accompanied by midfacial hypoplasia with a resulting crowded small nasopharynx; this can lead to obstructive sleep apnoea which can lead to visual dysfunction. 4 This dysfunction may be visual-cortical in nature, which suggests that other cortical damage could also be occurring.…”

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confidence: 99%

Is non‐syndromic single suture craniosynostosis purely an aesthetic problem?

Nischal¹

2007

Develop Med Child Neuro

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Visual outcomes and amblyogenic risk factors in craniosynostotic syndromes: a review of 141 cases

Cited by 103 publications

References 20 publications

Visual function in infants with non‐syndromic craniosynostosis

Visual function in infants with non‐syndromic craniosynostosis

Ocular Manifestation in Patients With Craniofacial Anomalies - A Hospital Based Study

Is non‐syndromic single suture craniosynostosis purely an aesthetic problem?

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