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Characteristic ocular findings in patients with craniofacial cleft

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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.

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Author information

Authors and Affiliations

  1. 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

    Sukwha Kim

  2. Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300, Gumi-dong, Bundang-gu, Seongnam, Gyeonggi-do, 463-707, South Korea

    Jeong-Min Hwang

Authors
  1. Sukwha Kim
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  2. Jeong-Min Hwang
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Corresponding author

Correspondence to Jeong-Min Hwang.

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Kim, S., Hwang, JM. Characteristic ocular findings in patients with craniofacial cleft. Graefe's Arch Clin Exp Ophthalmol 243, 490–492 (2005). https://doi.org/10.1007/s00417-004-1069-6

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  • DOI: https://doi.org/10.1007/s00417-004-1069-6

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