Dufier J L, Vinurel M C, Renier D, Marchac D
J Fr Ophtalmol. 1986;9(4):273-80.
The authors present a review of the most commonly observed ophthalmological troubles in 244 cases of children affected by cranio-facio stenoses and hospitalized for a first examination. The fundus examination shows that nearly all types of cranio-facio stenoses can be complicated by intracranial hypertension with potential damage on the optic nerve. The hyper and hypotelorisms, particularly frequent, carry along aesthetic prejudice and effect on the ocular motility. In the most severe forms of the diseases (Alport), pseudo-exophthalmy by retrusion of the face can justify preventive surgical procedures in emergency. Squint is frequent (36.5%). All types can be found. Finally, the authors certify the frequency and the seriousness of ocular repercussion, even in so called benign types of cranio-stenoses, such as plagiocephaly, trigonocephaly, and scaphocephaly.
作者对244例患有颅面狭窄并因首次检查而住院的儿童中最常见的眼科问题进行了综述。眼底检查显示，几乎所有类型的颅面狭窄都可能并发颅内高压，对视神经造成潜在损害。眼距过宽和眼距过窄尤为常见，会带来审美偏见并影响眼球运动。在疾病最严重的形式（如奥尔波特综合征）中，面部后缩导致的假性眼球突出可成为紧急情况下预防性手术的理由。斜视很常见（36.5%）。各种类型都有。最后，作者证实了眼部影响的频率和严重性，即使在所谓的良性颅狭窄类型中，如斜头畸形、三角头畸形和舟状头畸形。
