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Craniofacial Surgery and the Ophthalmologist

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Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery

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Abstract

With the possible exception of aesthetic considerations, the visual system is more involved in craniofacial deformities than any other. Changes may be an inherent feature of the pathologic process or occur as a secondary complication. Several of these are potentially devastating, resulting in substantial permanent impairment in visual function. In particular, optic atrophy, progressive optic nerve dysfunction, uncorrected refractive errors, strabismus, ptosis, and corneal exposure problems are an invitation to the development of amblyopia. If not reversed, this can lead to permanent visual disability. Because these are avoidable if recognized and managed early, prompt involvement of an ophthalmologist in the care of patients with craniofacial deformities is essential.

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References

  1. Katowitz J. Lacrimal drainage surgery. In: Duane T, editor. Clinical ophthalmology, vol. 5 (Orbit, Chap. 11). Hagerstown: Harper & Row; 1983. pp. 1–32.

    Google Scholar 

  2. Morin J et al. A study of growth in intraorbital region. Am J Ophthalmol. 1966;36:985.

    Google Scholar 

  3. Whitaker L, Schaffer D. Severe oculoorbital displacement. Plast Reconstr Surg. 1976;59:3.

    Google Scholar 

  4. Tessier P. Incidence, pathology and classification of orbital clefts and the pathology of orbital hypertelorism. In: Wood-Smith D, editor. Symposium on diagnosis and treatment of craniofacial anomalies. St. Louis: CV Mosby; 1979.

    Google Scholar 

  5. Hanson C. Growth of intraorbital distance and skull thickness as observed in roentiographic measurements. Radiology. 1966;86:87.

    Google Scholar 

  6. Converse JM et al. Ocular hypertelorism and pseudo hypertelorism: advances in surgical treatment. Plast Reconstr Surg. 1970;45:1.

    Article  CAS  PubMed  Google Scholar 

  7. Greig DM. Hypertelorism: an undifferentiated congenital craniofacial deformity. Edinb Med J. 1924;31:560.

    Google Scholar 

  8. Rogers BO. Mandibulo-facial dystosis: Treacher-Collins syndrome. In: Converse JM, editor. Symposium on diagnosis and treatment of craniofacial anomalies. St. Louis: CV Mosby; 1979.

    Google Scholar 

  9. Whitaker L, Katowitz J. Nasolacrimal apparatus in craniofacial deformity. In: Converse J, McCarthy J, Wood-Smith D, editors. Symposium on diagnosis and treatment of craniofacial anomalies. St. Louis: CV Mosby; 1979.

    Google Scholar 

  10. Hamilton WM, Boyd JD, Mossman HW. Human embryology: development of form and function. 3rd ed. Baltimore: Williams & Wilkins; 1962.

    Google Scholar 

  11. Currarino G, Silverman FN. Orbital hypertelorism arrhinencephaly and trigonocephaly. Radiology. 1960;74:206.

    CAS  PubMed  Google Scholar 

  12. Streeter GL. Development horizons in human embryos: age group XIII, embryos 4 to 5 mm long and age group XIV, indentation of lens vesicle. Contr Embryol Carneg Inst Wash. 1945;31:26.

    Google Scholar 

  13. Tessier P. Anatomical classification of facial, craniofacial, and lateral facial clefts. In: Tessier P et al., editors. Symposium on plastic surgery in the orbital region. St. Louis: CV Mosby; 1974.

    Google Scholar 

  14. Whitaker L, Katowitz J. Canthal and nasolacrimal apparatus problems. In: Kernahan D, Thompson J, editors. Symposium on pediatric plastic surgery. St. Louis: CV Mosby; 1982.

    Google Scholar 

  15. Diamond G et al. Ocular alignment after craniofacial reconstruction. Am J Ophthalmol. 1980;90:248.

    CAS  PubMed  Google Scholar 

  16. Sanders M. Septo-optic dysplasia. Lancet. 1978;6:13.

    Google Scholar 

  17. Rogers BO. Microtia, lop, cut and protruding ears: four directly related interheritable deformities? Plast Reconstr Surg. 1968;41:209.

    Google Scholar 

  18. Jackson I et al. Atlas of craniomaxillofacial surgery. St. Louis: CV Mosby; 1982.

    Google Scholar 

  19. Duke-Elder WS. Textbook of ophthalmology, vol. 5. St. Louis: CV Mosby; 1952.

    Google Scholar 

  20. Van Nouhoys J, Bryn G. Nasopharyngeal trans-sphenoidal encephocele: a crater-like hole in the optic disc. Psychiatr Neurol Neurosurg. 1964;67:243.

    Google Scholar 

  21. Tessier P et al. Plastic surgery of the orbit and eyelids. New York: Masson; 1981.

    Google Scholar 

  22. Rogers BO. Embryologic development of the head and face. In: Converse JM, editor. Symposium on diagnosis and treatment of craniofacial anomalies. St. Louis: CV Mosby; 1979.

    Google Scholar 

  23. Tessier P et al. Hypertelorism, cranio-naso-orbito-facial and subethmoid osteotomy. Panminerva Med. 1969;11:102.

    CAS  PubMed  Google Scholar 

Suggested Reading

  • Cohen Jr MM. Apert syndrome. In: Cohen Jr MM, MacLean RE, editors. Craniosynostosis: diagnosis, evaluation and management. 2nd ed. New York: Oxford University Press; 2000. p. 316–53.

    Google Scholar 

  • Forbes BJ. Congenital craniofacial anomalies. Curr Opin Ophthalmol. 2010;21(5):367–74.

    Article  PubMed  Google Scholar 

  • Fries PD, Katowitz JA. Congenital craniofacial anomalies of ophthalmic importance. Surv Ophthalmol. 1990;35:87–119.

    Article  CAS  PubMed  Google Scholar 

  • Katzen JT, McCarthy JG. Syndromes involving craniosynostosis and midface hypoplasia. Otolaryngol Clin North Am. 2000;33:1257–84.

    Article  CAS  PubMed  Google Scholar 

  • Khong JJ, Anderson P, Gray TL, Hammerton M, Selva D, David D. Ophthalmic findings in Apert’s syndrome after craniofacial surgery: twenty-nine years’ experience. Ophthalmology. 2006;113(2):347–52.

    Article  PubMed  Google Scholar 

  • Pereira FJ, Milbratz GH, Cruz AA, Vasconcelos JJ. Ophthalmic considerations in the management of Tessier cleft 5/9. Ophthal Plast Reconstr Surg. 2010;26(6):450–3.

    Article  PubMed  Google Scholar 

  • Newman SA. Ophthalmic features of craniosynostosis. Neurosurg Clin North Am. 1991;2(3):587–610.

    CAS  Google Scholar 

  • Wilkie AO. Craniosynostosis: genes and mechanisms. Hum Mol Genet. 1997;6:1647–56.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, The Children’s Hospital of Philadelphia, University of Pennsylvania Medical Center, Philadelphia, PA, USA

    James A. Katowitz M.D.

  2. Division of Ophthalmology, St. Christopher’s Hospital for Children, Philadelphia, PA, USA

    Gary R. Diamond M.D.

Authors
  1. James A. Katowitz M.D.
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  2. Gary R. Diamond M.D.
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Corresponding author

Correspondence to James A. Katowitz M.D. .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, Associate Professor of Ophthalmology Wayne State University School of Med, Detroit, Michigan, USA

    Evan H. Black

  2. Oakland University William Beaumont, Clinical Professor of Ophthalmology Director, Oculoplastic Surgery, Southfield, Michigan, USA

    Frank A. Nesi

  3. Department of Ophthalmology, University of Central Florida, Orlando, USA

    Christopher J. Calvano

  4. William Beaumont School of Medicine, Clinical Professor of Ophthalmology Co-Director, Oculoplastic Surgery, Detroit, Michigan, USA

    Geoffrey J. Gladstone

  5. Former Chief of Ophthalmology, Emeritus Clinical Prof of Ophthalmology Case Western Reserve University, South Euclid, USA

    Mark R. Levine

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Katowitz, J.A., Diamond, G.R. (2012). Craniofacial Surgery and the Ophthalmologist. In: Black, E., Nesi, F., Calvano, C., Gladstone, G., Levine, M. (eds) Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0971-7_66

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  • DOI: https://doi.org/10.1007/978-1-4614-0971-7_66

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  • Print ISBN: 978-1-4614-0970-0

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