Cause of V pattern strabismus in craniosynostosis: a case report

Strabismus is a common association in patients with craniosynostosis or craniofacial dysostosis (60–70%).1–3 V pattern exotropia is the most common ocular motility problem. Various theories have been proposed to explain the cause of the V pattern and surgical attempts to correct it with weakening procedures of the inferior oblique have been disappointing.2,3 This is a case report of one child with this disorder who underwent orbital computed tomography (CT) scans and had a marked improvement of the V pattern following strabismus surgery based on the CT findings. This child with craniosynostosis had undergone six previous cranial surgeries. She had three strabismus surgical procedures including anterior transpositions of the inferior obliques in an …