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Longitudinal assessment of visual development in non-syndromic craniosynostosis: a one-year pre- and post-surgical study.
  1. Gessica Vasco
  1. Pediatric Neurology Unit, Catholic University, Rome, Italy
    1. Giovanni Baranello
    1. Pediatric Neurology Unit, Catholic University, Rome, Italy
      1. Daniela Ricci
      1. Pediatric Neurology Unit, Catholic University, Rome, Italy
        1. Annabella Salerni
        1. Department of Ophthalmology, Catholic University, Rome, Italy
          1. Giampiero Tamburrini
          1. Paediatric Neurosurgery, Catholic University, Rome, Italy
            1. Rita Amante
            1. Paediatric Neurosurgery, Pediatric Hospital "Bambino Gesù" Rome, Italy
              1. Anna Dickman
              1. Department of Ophthalmology , Catholic University, Rome, Italy
                1. Concezio Di Rocco
                1. Paediatric Neurosurgery, Catholic University, Rome, Italy
                  1. Francesco Velardi
                  1. Paediatric Neurosurgery, Pediatric Hospital "Bambino Gesù", Rome, Italy
                    1. Eugenio Mercuri (e.mercuri{at}ic.ac.uk)
                    1. Pediatric Neurology Unit, Catholic University, Rome, Italy

                      Abstract

                      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 raised 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 are not frequent in infants with non syndromic craniosynostosis who underwent surgical correction. Approximately half of the patients had some visual abnormalities before surgery, that subsequently improved, showing a delayed visual maturation rather than persistent abnormalities.

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