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Year : 2008  |  Volume : 56  |  Issue : 6  |  Page : 504-507

Anterior plagiocephaly with contralateral superior oblique overaction

1 Pediatric Ophthalmology and Strabismus Clinic, T V Patel Eye Institute, Baroda, India
2 Pediatric Ophthalmology and Strabismus Clinic, Venu Eye Hospital, India
3 Pediatric Ophthalmology and Strabismus Clinic, Aravind Eye Hospitals, Madurai, India

Correspondence Address:
Jitendra Jethani
Pediatric Ophthalmology and Strabismus Clinic, T V Patel Eye Institute, Haribhakti Complex, Salatwada, Baroda-390 001
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.43374

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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.

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