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Ocular staphyloma associated with facial clefting
S P Hardy1, M Lundergan, L Morales
1Division of Plastic Surgery, University of Wisconsin Medical School, Madison 53706, USA.
The Journal of Craniofacial Surgery
|July 1, 1997
Summary
A staphyloma, an uncommon eye condition, involves scleral thinning and bulging. This case highlights a staphyloma in a child with facial clefts, successfully treated with a cadaver graft before surgery.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Medical Genetics
Background:
- A staphyloma is an uncommon ocular lesion characterized by scleral thinning and bulging of uveal tissue.
- Scleral defects increase the risk of globe rupture during procedures involving elevated intraocular pressure, such as cranio-orbital surgery.
Observation:
- This report details a rare case of a staphyloma in a pediatric patient with bilateral facial clefts.
- The child underwent successful scleral repair using a cadaver graft prior to hypertelorism correction surgery.
Findings:
- The surgical intervention involved a cadaveric graft for scleral repair, followed by orbital repositioning 10 months later without complications.
- The case demonstrates the successful management of a staphyloma in a complex pediatric surgical context.
Implications:
- The findings suggest a potential association between facial clefting and the development of staphyloma, warranting further investigation.
- This case underscores the importance of considering and managing ocular complications in children with craniofacial anomalies.