Hemifacial hyperplasia strabismus


Hemifacial hyperplasia strabismus is a rare inherited condition characterized mainly by abnormal, asymmetrical facial bone growth and eye problems in some cases.


  • Facial asymmetry
  • Amblyopia
  • Crossed eyes
  • Submucous cleft palate
  • Impaired vision


  • 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


  • 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