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March 1987

Ocular and Adnexal Complications of Unilateral Orbital Advancement for Plagiocephaly

Author Affiliations

From the Divisions of Ophthalmology (Drs Diamond, Katowitz, Bersani, and Welsh) and Plastic Surgery (Drs Whitaker and Bartlett), The Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine, Philadelphia.

Arch Ophthalmol. 1987;105(3):381-385. doi:10.1001/archopht.1987.01060030101036

• Strabismus, ptosis, lateral canthal dystopia, nasolacrimal obstruction, and cranial nerve palsy were noted preoperatively in 32%, 21%, 14%, 12%, and 9% of 34 patients, respectively, undergoing ophthalmologic evaluation prior to unilateral orbital advancement for plagiocephaly. Thirty-two percent of the patients had normal preoperative ocular and adnexal examination results. Ptosis, strabismus, and amblyopia were frequently acquired postoperative abnormalities in 29%, 18%, and 18% of the patients, respectively. Forty-four percent of the patients had no new abnormalities following craniofacial surgery.