Dr.SRIKALA BIZZA

DR. NITIN MUKESH, Dr.Jatinder Bali

Abstract

INTRODUCTION: BPES is a clinical syndrome that involves blepharophimosis, ptosis, epicanthus inversus and telecanthus. It is a genetic syndrome inherited in an autosomal dominant fashion.

MATERIALS AND METHODS: We hereby present a case of four and a half year old male child presented with a chief complaint of blurring of vision since one year. On examination typical features were present including bilateral shortening of horizontal and vertical dimensions of palpebral fissures, bilateral eyelid drooping, lateral displacement of inner canthus with a small skin fold obscuring the inner canthus of eye.

DISCUSSION: BPES presents at birth with four cardinal eyelid malformations, other associations include euryblepharon, widened nasal bridge, superior orbital rim hyperplasia, hypertelorism and thick highly arched eyebrows. Management includes surgical correction of eyelid malformations that can help in preventing visual impairment.