DR. SHRAVYA ANUMAKONDA

DR. RAMAN YENUGANDULA

Abstract

A 14 year old male child born from consanguinity is brought with c/o white reflex at pupil and outward deviation of RE since 5 months and prominent eyes since birth.H/o neonatal seizures with global developmental delay.

On examination:Short stature, towering head, mid-facial hypoplasia,broad nasal bridge,mandibular prognathism, psittachorhina,high arched palate,low-set ears with Shallow orbits,hypertelorism,bilateral proptosis.RE Developmental cataract; HCRT RE:40 degrees exotropia LE:central with BE alternate exo,EOM:full and free.

Diagnosis of Crouzon syndrome made for which RE cataract surgery f/b RE squint surgery done.Postoperatively near orthoptic status with minimal residual exotropia noted.Child is observed to have improvement in activity,mobility and overall quality of life.This shows a successful ocular rehabilitation in Crouzon syndrome,one of the most common form of craniosynostosis,which requires a multidisciplinary approach for a better quality of life in these children.