Bubanale Shivanand Chanabasu, Kurbet Santosh B, De Piedade Sequeira Linda Maria Genoveva
Department of Ophthalmology, JNMC, Belagavi, Karnataka, India.
Department of Paediatric Surgery, JNMC, Belagavi, Karnataka, India.
Indian J Ophthalmol. 2017 Jul;65(7):610-612. doi: 10.4103/ijo.IJO_914_16.
The incidence of the craniofacial cleft is rare ranging between 1.43 and 4.85/100,000 births. Tessier number nine cleft being the rarest, there are a few reports of detailed ophthalmologic examinations performed in them. In this study, 1-day-old female neonate delivered by normal vaginal delivery at term, weighing 1480 g presented with right eye dystopia, cleft extending through the lateral third of the upper eyelid, brow ending at the temporal region, conjunctival congestion, clear cornea 10 mm in diameter, normal anterior chamber, pupil 2 mm reactive to light, clear lens, and normal fundus. Cleft extended downward from the right medial canthus involving the nasal ala and left forearm had an oblique-crease with camptodactyly. We thus report a case of anterior segment abnormality with an oblique craniofacial cleft. The cause of which is unclear, amniotic band syndrome being a possible cause.
颅面裂的发病率很低，每10万例出生中发生率在1.43至4.85例之间。第9号Tessier裂是最罕见的，关于对其进行详细眼科检查的报道很少。在本研究中，一名足月顺产的1日龄女婴，体重1480克，表现为右眼异位、裂隙延伸至上睑外侧三分之一、眉梢止于颞部、结膜充血、角膜直径10毫米清亮、前房正常、瞳孔2毫米对光反应正常、晶状体清亮、眼底正常。裂隙从右内眦向下延伸，累及鼻翼，左前臂有斜纹并伴有手指屈曲畸形。因此，我们报告一例伴有斜行颅面裂的前段异常病例。其病因尚不清楚，羊膜带综合征可能是一个原因。
