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Published Online First: 7 May 2008. doi:10.1136/adc.2007.128421
Archives of Disease in Childhood 2008;93:932-935
Copyright © 2008 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

ORIGINAL ARTICLES

Longitudinal assessment of visual development in non-syndromic craniosynostosis: a 1-year pre- and post-surgical study

G Vasco1, G Baranello1, D Ricci1, A Salerni2, G Tamburrini3, R Amante4, A Dickmann2, C Di Rocco3, F Velardi4, E Mercuri1

1 Pediatric Neurology Unit, Catholic University, Rome, Italy
2 Department of Ophthalmology, Catholic University, Rome, Italy
3 Paediatric Neurosurgery, Catholic University, Rome, Italy
4 Paediatric Neurosurgery, Pediatric Hospital "Bambino Gesù", Rome, Italy

Eugenio Mercuri, Neuropsichiatria Infantile, Policlinico Gemelli, Largo Gemelli, 00168 Roma; mercuri{at}rm.unicatt.it

Objective: to investigate visual function pre- and post surgery in children with single-suture non-syndromic craniosynostosis

Design: Twenty-nine infants (12 with sagittal synostosis, 10 with trigonocephaly and 7 with anterior plagiocephaly) were longitudinally evaluated using a battery of tests assessing various aspects of visual function, including ocular behaviour, acuity, visual fields and fixation shift. All infants were assessed before surgery and 2, 6 and 12 months after surgery.

Results: Before surgery only 16% of infants had completely normal visual function, while on the assessment performed 12 months after surgery, the number with normal results on all the tests increased to 65%. The only abnormalities found 12 months after surgical correction were mainly found on abnormal oculomotor behaviour in infants with plagiocephaly.

Conclusion: Abnormalities of visual function were not frequent in infants with non-syndromic craniosynostosis who underwent surgical correction. Approximately half of the patients had some visual abnormalities before surgery, which subsequently improved, showing a delayed visual maturation rather than persistent abnormalities.


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