Developmental Anomalies

Congenital developmental anomalies affecting the orbital cavity are very rare.

15.3.1 Craniofacial Dysplasia 15.3.1.1 Craniostenosis

This clinical picture involves premature fusion of the cranial sutures. Clinical signs often include bilateral exophthalmos associated with ocular hyper-telorism and exotropia (divergent strabismus). The mechanical impairment of the optic nerve is evidenced by development of papilledema and requires surgical decompression to prevent atrophy of the optic nerve.

15.3.1.1.1 Oxycephaly

Premature fusion of the coronal suture causes the orbits to become elevated, flattened, and smaller than normal.

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