Hemifacial hyperplasia strabismus
Overview
Hemifacial hyperplasia strabismus is a rare inherited condition characterized mainly by abnormal, asymmetrical facial bone growth and eye problems in some cases.
Symptoms
- Facial asymmetry
- Amblyopia
- Crossed eyes
- Submucous cleft palate
- Impaired vision
Causes
- Esotropia - Defined as convergent visual axes or “crossed” eyes
- Amblyopia and monocular blindness usually manifests as esodeviation in 0–3-year-olds
- Exotropia - Defined as divergent visual gaze Amblyopia and monocular blindness usually manifest as exodeviation in children older than 4 years
Treatment
- Ophthalmologic consultation
- Transient infantile esotropia –Self-limiting
- Congenital esotropia –Surgical correction before age 2
- Retinoblastoma and other tumors –Oncologic evaluation and treatment
- Hydrocephalus –May or may not correct with treatment of the hydrocephalus; may require surgical intervention
- Möbius syndrome –Difficult to treat
- Accommodative esotropia –Corrective lenses
- Idiopathic exotropia –Surgery or patching