Anterior plagiocephaly with contralateral superior oblique overaction.
Anterior plagiocephaly is a craniofacial anomaly related to premature unilateral synostosis. We present three cases of anterior plagiocephaly with contralateral superior oblique dysfunction. A detailed ophthalmic examination, including orthoptic assessment for the extraocular muscle misalignment, with appropriate radio-imaging was done in all the three cases. All of them showed a right-sided plagiocephaly, with overaction of the left superior oblique muscle, alternating exotropia and a dissociated vertical deviation. Two underwent surgical correction of squint. Both were well aligned after squint surgery. Plagiocephaly has been reported to simulate superior oblique muscle paresis. We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.
Jethani
Jitendra
J
Pediatric Ophthalmology and Strabismus Clinic, T V Patel Eye Institute, Baroda, India. xethani@rediffmail.com
Dagar
Abhishek
A
Vijayalakshmi
P
P
Sundaresh
K
K
D000293:Adolescent; D002648:Child; D005099:Exotropia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005133:Eye Movements; D005260:Female; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000294:innervation; D013580:Synostosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D013710:Tendons / Q000601:surgery; D014057:Tomography, X-Ray Computed; D020432:Trochlear Nerve Diseases / Q000601:surgery; D015348:Vision, Binocular