Balraj Arumugam, Ravikumar Harini
Neuro Ophthalmology, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Puducherry, IND.
Cureus. 2024 Dec 3;16(12):e75059. doi: 10.7759/cureus.75059. eCollection 2024 Dec.
A five-year-old female came with a history of frequent rubbing of the right eye and noticed prolonged elevation of her head since birth, informed by her mother. On ocular examination, the best corrected visual acuity shown in the right eye was 1/60, and the left eye was 6/6, with proptosis in both eyes. Fundus examination showed both eyes having pale discs. General assessment of the patient shows a high, peaked forehead and a shortened, pointed head shape suggestive of oxycephaly. Immediate neuroimaging revealed premature closure of skull bones with narrowing of orbit apex leading to bilateral compressive optic neuropathy, which is suggestive of craniosynostosis. Frontal advancement surgery was done for oxycephaly to relieve compression to the optic nerve. Post-surgery vision improved to 6/24 in the right eye. Recent advancements in surgical techniques and a collaborative team-based approach have significantly enhanced the safety and outcomes of this disease.
一名五岁女性前来就诊，其母亲告知，该患儿自出生以来就有频繁揉右眼的病史，且发现头部长期抬起。眼部检查显示，右眼最佳矫正视力为1/60，左眼为6/6，双眼均有眼球突出。眼底检查显示双眼视盘苍白。对该患者的综合评估显示，其额头高耸、尖顶，头部形状短而尖，提示尖头畸形。立即进行的神经影像学检查显示颅骨过早闭合，眶尖狭窄，导致双侧压迫性视神经病变，提示颅缝早闭。针对尖头畸形进行了额部前移手术，以减轻对视神经的压迫。术后右眼视力提高到6/24。手术技术的最新进展以及基于团队协作的方法显著提高了这种疾病的安全性和治疗效果。
