Table 1.

Follow-up schedule for metopic synostosis

Out patients evaluation	Scull circumference	Plain radiographs (AP and lateral)	Fundoscopy
Preoperatively	X	X a	X
3 weeks postoperative	X	–	–
3 months postoperative	X	X	–b
At age 2 years	X	X	X
At age 4, 6, and 9 years	X	X	–c
At age 12 and 15 years	X	–	–c
At age 18 years	X	X	–c

^aPreoperative screening includes a Tschebull radiograph and a 3D CT scan

^bOnly when preoperative fundoscopy showed papillary oedema

^cOnly when raised intra cranial pressure is suspected (inhibited cranial expansion, increased beaten copper pattern, changed behaviour, visual impairment, etc)