Ophthalmic Features 5 Years after Cranioplasty in Children with Unilateral Coronal Craniosynostosis

Purpose: To investigate ocular asymmetry status 5 years after cranioplasty in children with unilateral coronal craniosynostosis.Methods: The medical records of 41 who underwent at a mean age 11.7 months were retrospectively reviewed. cranial vault index (CVAI) and the amount head tilt measured on images obtained before cranioplasty. Presence anisometropia, aniso-astigmatism, amblyopia, strabismus was evaluated 6.8 years. Correlations among CVAI, direction synostotic suture asymmetries analyzed.Results: Before cranioplasty, CVAI 4.5%; 31 patients (75.6%) exhibited tilting, which contralateral to site 29 these patients. At 5.6 anisometropia ≥ 1.00 diopters spherical equivalent present 9 (22.0%) aniso-astigmatism 10 (24.4%). Amblyopia 15 (36.6%); eye more frequently affected, anisometropic amblyopia most common subtype. Strabismus 28 (68.3%); exodeviation vertical deviation subtypes. non-dominant ipsilateral 12 13 (92.3%) simulated superior oblique palsy 7 (70.0%) dissociated deviation. In 5%, significantly than other (<i>p</i> = 0.04), but we found no relationship between any type high CVAI.Conclusions: Ocular including observed even successful treatment for craniosynostosis, emphasizing need continuous ophthalmic follow-up.