Unilateral anterior persistent fetal vasculature in a child with blepharophimosis-ptosis-epicanthus inversus syndrome: A surgical challenge

Blepharophimosis-ptosis-epicanthus inversus syndrome (BPES) is a rare autosomal dominant genetic disease. It is clinically characterized by four major features; blepharophimosis, ptosis, epicanthus inversus, and telecanthus. We report a case of a 1-year-old female with BPES with unilateral anterior...

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Main Authors: Vasudha Kemmanu, Pragnya Rathod, Hemant Anaspure, Naresh K Yadav
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=6;spage=469;epage=471;aulast=Kemmanu
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author Vasudha Kemmanu
Pragnya Rathod
Hemant Anaspure
Naresh K Yadav
author_facet Vasudha Kemmanu
Pragnya Rathod
Hemant Anaspure
Naresh K Yadav
author_sort Vasudha Kemmanu
collection DOAJ
description Blepharophimosis-ptosis-epicanthus inversus syndrome (BPES) is a rare autosomal dominant genetic disease. It is clinically characterized by four major features; blepharophimosis, ptosis, epicanthus inversus, and telecanthus. We report a case of a 1-year-old female with BPES with unilateral anterior persistent fetal vasculature (PFV). On examination, she was found to have all the clinical features of BPES, along with calcified and partially absorbed cataract with elongated ciliary processes in her left eye. B-scan of left eye showed attached retina with no evidence of posterior PFV. Systemic examination was normal. She underwent cataract surgery with primary posterior capsulotomy with intraocular lens implantation under general anesthesia. Literature search did not reveal any previous reports of unilateral anterior PFV and BPES. The clinical features, other associations, and the difficulties in the surgical management of this condition are discussed.
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spelling doaj.art-2ea9f59a56a4421fb8bdb2ff165b68af2022-12-21T23:52:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892016-01-0164646947110.4103/0301-4738.187681Unilateral anterior persistent fetal vasculature in a child with blepharophimosis-ptosis-epicanthus inversus syndrome: A surgical challengeVasudha KemmanuPragnya RathodHemant AnaspureNaresh K YadavBlepharophimosis-ptosis-epicanthus inversus syndrome (BPES) is a rare autosomal dominant genetic disease. It is clinically characterized by four major features; blepharophimosis, ptosis, epicanthus inversus, and telecanthus. We report a case of a 1-year-old female with BPES with unilateral anterior persistent fetal vasculature (PFV). On examination, she was found to have all the clinical features of BPES, along with calcified and partially absorbed cataract with elongated ciliary processes in her left eye. B-scan of left eye showed attached retina with no evidence of posterior PFV. Systemic examination was normal. She underwent cataract surgery with primary posterior capsulotomy with intraocular lens implantation under general anesthesia. Literature search did not reveal any previous reports of unilateral anterior PFV and BPES. The clinical features, other associations, and the difficulties in the surgical management of this condition are discussed.http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=6;spage=469;epage=471;aulast=KemmanuAnterior persistent fetal vasculatureblepharophimosis-ptosis-epicanthus inversus syndromecongenital cataract
spellingShingle Vasudha Kemmanu
Pragnya Rathod
Hemant Anaspure
Naresh K Yadav
Unilateral anterior persistent fetal vasculature in a child with blepharophimosis-ptosis-epicanthus inversus syndrome: A surgical challenge
Indian Journal of Ophthalmology
Anterior persistent fetal vasculature
blepharophimosis-ptosis-epicanthus inversus syndrome
congenital cataract
title Unilateral anterior persistent fetal vasculature in a child with blepharophimosis-ptosis-epicanthus inversus syndrome: A surgical challenge
title_full Unilateral anterior persistent fetal vasculature in a child with blepharophimosis-ptosis-epicanthus inversus syndrome: A surgical challenge
title_fullStr Unilateral anterior persistent fetal vasculature in a child with blepharophimosis-ptosis-epicanthus inversus syndrome: A surgical challenge
title_full_unstemmed Unilateral anterior persistent fetal vasculature in a child with blepharophimosis-ptosis-epicanthus inversus syndrome: A surgical challenge
title_short Unilateral anterior persistent fetal vasculature in a child with blepharophimosis-ptosis-epicanthus inversus syndrome: A surgical challenge
title_sort unilateral anterior persistent fetal vasculature in a child with blepharophimosis ptosis epicanthus inversus syndrome a surgical challenge
topic Anterior persistent fetal vasculature
blepharophimosis-ptosis-epicanthus inversus syndrome
congenital cataract
url http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=6;spage=469;epage=471;aulast=Kemmanu
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AT pragnyarathod unilateralanteriorpersistentfetalvasculatureinachildwithblepharophimosisptosisepicanthusinversussyndromeasurgicalchallenge
AT hemantanaspure unilateralanteriorpersistentfetalvasculatureinachildwithblepharophimosisptosisepicanthusinversussyndromeasurgicalchallenge
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