Surgical correction of incomplete cryptophthalmos in Fraser syndrome

Am J Ophthalmol. 1997 Jul;124(1):107-9. doi: 10.1016/s0002-9394(14)71653-8.

Abstract

Purpose: To demonstrate favorable long-term visual outcome after ocular reconstruction in an infant with Fraser syndrome and with complete left cryptophthalmos.

Methods: Reconstruction of incomplete right cryptophthalmos in our patient was accomplished in a stepwise manner, beginning in the third week of life, by dissecting the eyelids from the cornea, reconstructing the conjunctival fornices with buccal mucosa, and repairing the upper lid coloboma in a flap reconstruction using the inferior eyelid margin.

Results: At age 3 years, the patient currently has good movement of the right eyelids when blinking, reasonable right tear function, and a visual acuity in the right eye between 20/200 and 20/360 on forced preferential looking.

Conclusion: In selected cases of incomplete cryptophthalmos, oculoplastic and corneal surgery may result in useful vision and in good eyelid movement when blinking.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abnormalities, Multiple* / surgery
  • Child, Preschool
  • Craniofacial Abnormalities / complications*
  • Eye Abnormalities / complications
  • Eye Abnormalities / surgery*
  • Eyelids / abnormalities*
  • Eyelids / surgery*
  • Humans
  • Male
  • Surgical Flaps / methods
  • Syndactyly / complications*
  • Syndrome
  • Urogenital Abnormalities*
  • Visual Acuity