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The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...

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The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...

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The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
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Updated: May 6, 2026

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

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Published on: February 29, 2020

Exploring Visual Outcomes in Late-Presenting Multisuture Craniosynostosis: A Case Report.

Arumugam Balraj¹, Harini Ravikumar¹

¹Neuro Ophthalmology, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Puducherry, IND.

|January 6, 2025

Summary

Craniosynostosis, a skull malformation, can cause vision loss in children. Surgical intervention, like frontal advancement, can improve optic nerve compression and restore vision.

Keywords:

compressive optic neuropathy craniosynostosis frontal advancement surgery optic atrophy oxycephaly proptosis

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Area of Science:

Pediatric Ophthalmology
Neurosurgery
Craniofacial Surgery

Background:

Craniosynostosis is a congenital condition involving premature fusion of skull sutures.
This fusion can lead to abnormal head shape and increased intracranial pressure.
Orbital compression is a known complication, potentially affecting vision.

Observation:

A 5-year-old female presented with head tilt and eye rubbing, indicative of visual disturbance.
Ocular examination revealed reduced visual acuity and proptosis in both eyes.
Characteristic oxycephaly (peaked head shape) was noted, alongside pale optic discs.

Findings:

Neuroimaging confirmed craniosynostosis with orbital apex narrowing.
This anatomical abnormality caused bilateral compressive optic neuropathy.
Frontal advancement surgery was performed to alleviate optic nerve compression.

Implications:

The patient's vision improved significantly in the affected eye post-surgery.
This case highlights the critical link between craniofacial development and visual health.
Advancements in surgical techniques improve outcomes for craniosynostosis-related optic neuropathy.