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Ocular findings in children operated on for plagiocephaly and trigonocephaly
D Denis1, L Genitori, J Conrath
1Department of Ophthalmology, Hôpital de la Timone Adulte, Marseille, France.
Insights
Early surgical correction of plagiocephaly and trigonocephaly is crucial for normal visual development. Delayed treatment can impede binocular vision and lead to astigmatism and strabismus in children.
Area of Science:
- Ophthalmology
- Pediatric Neurosurgery
- Craniofacial Surgery
Background:
- Plagiocephaly and trigonocephaly cause orbital malformations impacting ocular health.
- Binocular vision typically develops by 6 months of age.
- Late surgical correction of skull deformities may hinder visual development.
Purpose of the Study:
- To investigate the prevalence of astigmatism and strabismus in children with plagiocephaly and trigonocephaly.
- To explore the relationship between the timing of surgical intervention and visual outcomes.
Main Methods:
- Clinical examination of 53 children (39 with plagiocephaly, 14 with trigonocephaly).
- Assessment of astigmatism and strabismus in affected children.
Main Results:
- Children with plagiocephaly and trigonocephaly exhibit significant ocular repercussions.
- Traction on the ocular globe due to bony deformation from craniosynostosis may cause astigmatism and strabismus.
Conclusions:
- Early surgical intervention for plagiocephaly and trigonocephaly is vital to prevent visual impairments.
- Delayed correction can negatively affect the development of normal visual function, potentially leading to conditions like astigmatism and strabismus.
Abstract:
Clinical examination of patients affected by plagiocephaly or trigonocephaly reveals evident malformation of the orbits, and the ocular repercussions are pronounced when children are operated on at an advanced age. Since it is generally accepted that binocular vision is fully developed by approximately 6 months of age, a late correction of plagiocephalic or trigonocephalic skull deformities may be an obstacle to the development of normal visual function. For the present report we investigated astigmatism and strabismus in 53 children, 39 of whom were operated on for plagiocephaly and 14 for trigonocephaly. Traction on the ocular globe induced by the bony deformation caused by the craniosynostosis may explain astigmatism and strabismus.