Title: Blepharophimosis Syndrome with Retinitis Pigmentosa (RP) A Rare Syndrome Complex

Authors: Sumera Zargar, Imran Mir, Renu Agarkherkar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i1.59

Abstract

Blepharophimosis is a congenital condition where the patient has severe bilateral, symmetric ptosis, telecanthus (an abnormally wide intracanthal distance with normal interpupillary distance), epicanthus inversus (skin fold arising from the lower eyelid that covers the medial canthus) and blepharophimosis (profound narrowing of the palpebral fissure).

Retinitis pigmentosa (RP) are a group of inherited disorders of the retina that are characterized by progressive dysfunction involving photoreceptors leading to eventual atrophy of several retinal layers .We report a patient with RP associated with blepharophimosis. We could find only one case of such features reported earlier.

References

1.      Ronan CM, Sutula FC. Congenital Lid anomalies. In: Albert DM, Jacobiec FA, editors. Principles and Practice of Ophthalmology. Vol 4, 2nd ed. WB Saunders Company: Philadelphia; 2000. p. 3336-9.

2.      Amaya L, Taylor D, Russell Eggitt I, Nishcal K, Lengyel D. The morphology and natural history of childhood cataracts. Surv Ophthalmol 2003; 48:124-44.

3.      Maclean K, Ambler G, Flaherty M, Kozlowski K, Ades LC. A variant microcephalic osteodysplastic slender-bone disorder with growth hormone deficiency and a pigmentary retinopathy. Clin Dysmorphol 2002; 11:255-60.

4.  Di Rocco M, Picco P, Arslanian A, Restagno G, Perfumo F, Buoncompagni A, et al . Retinitis pigmentosa, hypopituit-arism, nephronophthisis and mild skeletal dysplasia (RHYNS): A new syndrome? Am J Med Genet 1997; 73:1-4.  

5.      Dawson EL, Hardy TG, Collin JR, Lee JP. The incidence of strabismus and refractive error in patients with blepharophimosis, ptosis and epicanthus inversus syndrome (BPES). Strabismus 2003; 11:173-7.

6.   Pramod Kumar Pandey, Pankaj Vats, Pooja Jain, Ashish Amar, and Yuvika Bansal.  Retinitis pigmentosa associated with blepharophimosis, blue dot cataract and primary inferior  oblique overaction: A new syndrome complex or consummate myotonic dystrophy.Indian J Ophthalmol. 2009; Jul-Aug; 57(4): 325–326.

Corresponding Author

Sumera Zargar

Department of Ophthalmology,

SKIMS Medical College and Hospital, Srinagar INDIA