Ophthalmic considerations in the management of Tessier cleft 5/9.

Abstract:

PURPOSE:To describe a patient with Tessier cleft number 5 and 9 and review the literature on the ocular impairment and management of this extremely rare anomaly. METHODS:Interventional case report and literature review. RESULTS:The literature review showed that the present patient is the second case with clefts 5/9. The ophthalmic consequences of this rare association are virtually unreported. Our case demonstrates that the presence of cleft number 9 adds a cicatricial component on the upper eyelid that severely impairs the dynamics of this lid. The corneal status of the patient was successfully managed with simultaneous upper eyelid lengthening and facial reconstruction. CONCLUSION:In order to avoid corneal perforation, simultaneous upper and lower eyelid reconstruction is mandatory in cases of cleft 5/9. The affected patients should be continuously followed in order to prevent amblyopia.

authors

Pereira FJ,Milbratz GH,Cruz AA,Vasconcelos JJ

doi

10.1097/IOP.0b013e3181d9293a

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

450-3

issue

6

eissn

0740-9303

issn

1537-2677

journal_volume

26

pub_type

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