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Hypertelorism

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Acute

What is Hypertelorism?

Orbital hypertelorism is defined as an increased distance between the orbits, with true lateral displacement of the orbits. Anthropometric measurements will yield increased inner canthal distance (ICD), increased outer canthal distance (OCD), and increased interpupillary distance (IPD)

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It's usually a symptom of a birth defect or genetic disorder. No matter what causes it, babies born with orbital hypertelorism have eye sockets that are further apart than they should be. They'll also have extra bone between their eyes that fills in the additional space.

The main complications of both surgeries for orbital hypertelorism correction include excessive bleeding, risk of infection and cerebrospinal fluid leaks. Rare events also include blindness, visual disturbances, ptosis and diplopia.

  • Apert syndrome.
  • Bohring-Opitz syndrome.
  • Cri-du-chat syndrome.
  • Crouzon syndrome.
  • DiGeorge syndrome.
  • Edwards syndrome.
  • Loeys-Dietz syndrome.
  • Neurofibromatosis.

For congenital hypertelorism, the risk factors include: Family history of the disorder. Advanced maternal age. Certain genetic disorders and chromosomal abnormalities.

  • Apert syndrome.
  • Bohring-Opitz syndrome.
  • Cri-du-chat syndrome.
  • Crouzon syndrome.
  • DiGeorge syndrome.
  • Edwards syndrome.
  • Loeys-Dietz syndrome.
  • Neurofibromatosis.

How is it diagnosed?

How is it diagnosed?

Doctors most often recommend a box osteotomy to correct mild to moderate hypertelorism. In this procedure, a surgeon removes part of the nasal bone. They'll then move the remaining areas between the orbits closer together. Doctors most often perform a facial bipartition to correct severe hypertelorism.

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How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

The mainstay of treatment consists of moving the orbits medially to near normal position. This is accomplished by either an orbital translocation or facial bipartition technique. The choice of procedure is governed by the shape of the maxillary arch and associated occlusal conditions.

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