Characteristic ocular findings in patients with craniofacial cleft.
OBJECTIVE
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.
Kim
Sukwha
S
Department of Reconstructive Plastic Surgery, Seoul National University College of Medicine, Division of Pediatric Plastic Surgery, Seoul National University Children's Hospital, Seoul, South Korea.
Hwang
Jeong-Min
JM
D000293:Adolescent; D000550:Amblyopia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002675:Child, Preschool; D019465:Craniofacial Abnormalities / Q000150:complications* / Q000175:diagnosis; D004948:Esotropia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005099:Exotropia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005139:Eyeglasses; D005260:Female; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D012683:Sensory Deprivation