What is orbital hypertelorism?
Hypertelorism is an abnormally increased distance between two body parts or organs. In the case of craniofacial abnormalities, orbital hypertelorism is an abnormal distance between the orbits of the eyes wherein the distance of the inner eye corners and the distance between the pupils is greater than normal.
Hypertelorism is a symptom in a variety of craniofacial syndromes and anomalies. It is an exam finding rather than a condition, however, in isolation it may warrant treatment.
It occurs in various conditions most commonly with midline tessier-type facial clefts and with skull base encephaloceles.
Treatment and surgery of hypertelorism.
Treatment consists of a combined procedure with a neurosurgeon in order to reposition the orbits into the proper position. This usually is performed at around 5-6 years of age for the best results although may be performed younger under certain circumstances.
Hypertelorism Correction: What Happens with Growth?
Dr. Jordan Deschamps-Braly co-authored a seminal article on orbital hypertelorism. The report documents 95 hypertelorism corrections performed since 1971. The authors note their findings regarding outcomes, preferred age at surgery, technique, and stability of results with growth.