Limits...
Anterior plagiocephaly with contralateral superior oblique overaction.

Jethani J, Dagar A, Vijayalakshmi P, Sundaresh K - Indian J Ophthalmol (2008 Nov-Dec)

Bottom Line: Both were well aligned after squint surgery.Plagiocephaly has been reported to simulate superior oblique muscle paresis.We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.

View Article: PubMed Central - PubMed

Affiliation: Pediatric Ophthalmology and Strabismus Clinic, T V Patel Eye Institute, Baroda, India. xethani@rediffmail.com

ABSTRACT
Anterior plagiocephaly is a craniofacial anomaly related to premature unilateral synostosis. We present three cases of anterior plagiocephaly with contralateral superior oblique dysfunction. A detailed ophthalmic examination, including orthoptic assessment for the extraocular muscle misalignment, with appropriate radio-imaging was done in all the three cases. All of them showed a right-sided plagiocephaly, with overaction of the left superior oblique muscle, alternating exotropia and a dissociated vertical deviation. Two underwent surgical correction of squint. Both were well aligned after squint surgery. Plagiocephaly has been reported to simulate superior oblique muscle paresis. We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.

Show MeSH

Related in: MedlinePlus

Large angle exotropia with left eye superior obliqueoveraction and an A pattern
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2612973&req=5

F3B: Large angle exotropia with left eye superior obliqueoveraction and an A pattern

Mentions: Ocular motility examination revealed left exotropia of 40 pdfor near and distance with left hypotropia of 10 pd [Table 1]. Shehad a left superior oblique overaction and an A pattern of 14 pd[Figure 3 a]. She also had DVD. She had a right-sided frontalplagiocephaly [Figure 3 b]. A diagnosis of left exotropia withright superior rectus overaction, superior oblique overaction,A pattern and DVD was made. She did not want to undergoany surgical intervention.


Anterior plagiocephaly with contralateral superior oblique overaction.

Jethani J, Dagar A, Vijayalakshmi P, Sundaresh K - Indian J Ophthalmol (2008 Nov-Dec)

Large angle exotropia with left eye superior obliqueoveraction and an A pattern
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2612973&req=5

F3B: Large angle exotropia with left eye superior obliqueoveraction and an A pattern
Mentions: Ocular motility examination revealed left exotropia of 40 pdfor near and distance with left hypotropia of 10 pd [Table 1]. Shehad a left superior oblique overaction and an A pattern of 14 pd[Figure 3 a]. She also had DVD. She had a right-sided frontalplagiocephaly [Figure 3 b]. A diagnosis of left exotropia withright superior rectus overaction, superior oblique overaction,A pattern and DVD was made. She did not want to undergoany surgical intervention.

Bottom Line: Both were well aligned after squint surgery.Plagiocephaly has been reported to simulate superior oblique muscle paresis.We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.

View Article: PubMed Central - PubMed

Affiliation: Pediatric Ophthalmology and Strabismus Clinic, T V Patel Eye Institute, Baroda, India. xethani@rediffmail.com

ABSTRACT
Anterior plagiocephaly is a craniofacial anomaly related to premature unilateral synostosis. We present three cases of anterior plagiocephaly with contralateral superior oblique dysfunction. A detailed ophthalmic examination, including orthoptic assessment for the extraocular muscle misalignment, with appropriate radio-imaging was done in all the three cases. All of them showed a right-sided plagiocephaly, with overaction of the left superior oblique muscle, alternating exotropia and a dissociated vertical deviation. Two underwent surgical correction of squint. Both were well aligned after squint surgery. Plagiocephaly has been reported to simulate superior oblique muscle paresis. We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.

Show MeSH
Related in: MedlinePlus