Anterior plagiocephaly with contralateral superior oblique overaction

• Main Authors: Jethani Jitendra, Dagar Abhishek, Vijayalakshmi P, Sundaresh K
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2008-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Craniofacial dystosis; desagittalization; plagiocephaly; superior oblique overaction
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=6;spage=504;epage=507;aulast=Jethani
• ISSN: 0301-4738; 1998-3689

Anterior plagiocephaly is a craniofacial anomaly related to premature unilateral synostosis. We present three cases of anterior plagiocephaly with contralateral superior oblique dysfunction. A detailed ophthalmic examination, including orthoptic assessment for the extraocular muscle misalignment, with appropriate radio-imaging was done in all the three cases. All of them showed a right-sided plagiocephaly, with overaction of the left superior oblique muscle, alternating exotropia and a dissociated vertical deviation. Two underwent surgical correction of squint. Both were well aligned after squint surgery. Plagiocephaly has been reported to simulate superior oblique muscle paresis. We report a rare occurrence of contralateral superior oblique muscle overaction in three children with anterior plagiocephaly.