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Characteristic ocular findings in patients with craniofacial cleft

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Authors
Kim, Sukwha; Hwang, Jeong-Min
Issue Date
2005-06-03
Publisher
Springer Verlag
Citation
Graefes Arch Clin Exp Ophthalmol. 2005 May;243(5):490-2. Epub 2004 Dec 11
Keywords
AdolescentAmblyopia/*complications/diagnosis/therapyChild, PreschoolCraniofacial Abnormalities/*complications/diagnosisEsotropia/*complications/diagnosis/therapyExotropia/*complications/diagnosis/therapyEyeglassesFemaleHumansMaleOphthalmologic Surgical ProceduresSensory Deprivation
Abstract
PURPOSE: To identify the characteristic ocular findings in patients with craniofacial cleft (CFC). METHODS: Ophthalmologic examination was performed for a 16-year-old girl with no. 3 CFC and a 3-year-old boy with no. 5 CFC. RESULTS: Exotropia was found in the 3-year-old boy with no. 5 CFC involving the lateral orbit, and esotropia in the 16-year-old girl with craniofacial cleft no. 3 involving the medial orbit. Hypotropia, lower eyelid coloboma, amblyopia and an absence of stereopsis were common to both patients. Visual acuity was improved from hand motion to 20/30 by means of occlusion therapy for amblyopia in the 3-year-old boy. Strabismus surgery resulted in exophoria of 8 prism diopters (PD) in the 3-year-old boy and left esotropia of 8 PD in the 16-year-old girl. CONCLUSIONS: Amblyopia, hypotropia, esotropia (no. 3) and exotropia (no. 5) should be verified in cases of CFC nos. 3 and 5. Ophthalmologic examination and early intervention for amblyopia may be mandatory for patients with CFC involving the orbit.
ISSN
0721-832X (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15931546

http://hdl.handle.net/10371/15496
DOI
https://doi.org/10.1007/s00417-004-1069-6
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College of Medicine/School of Medicine (의과대학/대학원)Plastic Surgery (성형외과학전공)Journal Papers (저널논문_성형외과학전공)
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