Clinical features and orbital anomalies in Fraser syndrome and a review of management options

Purpose: Fraser syndrome is a rare congenital disorder comprising cryptophthalmos, syndactyly, and many times, urogenital anomalies. Herein, the authors aimed to study and report the clinical features and orbital anomalies in cases diagnosed with Fraser syndrome. Methods: The authors retrospectively...

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Main Authors: Deepsekhar Das, Sujeeth Modaboyina, Sandton Raj, Sahil Agrawal, Mandeep Singh Bajaj
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2559;epage=2563;aulast=Das
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author Deepsekhar Das
Sujeeth Modaboyina
Sandton Raj
Sahil Agrawal
Mandeep Singh Bajaj
author_facet Deepsekhar Das
Sujeeth Modaboyina
Sandton Raj
Sahil Agrawal
Mandeep Singh Bajaj
author_sort Deepsekhar Das
collection DOAJ
description Purpose: Fraser syndrome is a rare congenital disorder comprising cryptophthalmos, syndactyly, and many times, urogenital anomalies. Herein, the authors aimed to study and report the clinical features and orbital anomalies in cases diagnosed with Fraser syndrome. Methods: The authors retrospectively evaluated the records of patients with Fraser syndrome who had presented to a tertiary eye care hospital in northern India in the last 2 years (from January 2019 to December 2020). The clinical features were studied, entered in MS Excel, and the data was evaluated. Results: Data of 15 patients with Fraser syndrome were found. Majority of the patients were males and presented in the pediatric age group. Bilateral involvement was more common, and the most common variant of cryptophthalmos was abortive. Complete and medial madarosis of the eyebrows was the most common periocular finding. Complete cryptophthalmos was associated with cystic globes, whereas abortive forms had superior symblepharon. Common systemic features included syndactyly, bifid nose, and urogenital anomaly. Conclusion: Fraser syndrome is an extremely rare developmental disorder; it encompasses a wide range of ocular, periocular, and orbital anomalies, along with multiple pre-existing systemic anomalies. The treating ophthalmologist should always be careful in examining these patients.
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spelling doaj.art-e4c6a50aa5a649e8abac4903dfffed1a2022-12-22T02:11:51ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017072559256310.4103/ijo.IJO_2627_21Clinical features and orbital anomalies in Fraser syndrome and a review of management optionsDeepsekhar DasSujeeth ModaboyinaSandton RajSahil AgrawalMandeep Singh BajajPurpose: Fraser syndrome is a rare congenital disorder comprising cryptophthalmos, syndactyly, and many times, urogenital anomalies. Herein, the authors aimed to study and report the clinical features and orbital anomalies in cases diagnosed with Fraser syndrome. Methods: The authors retrospectively evaluated the records of patients with Fraser syndrome who had presented to a tertiary eye care hospital in northern India in the last 2 years (from January 2019 to December 2020). The clinical features were studied, entered in MS Excel, and the data was evaluated. Results: Data of 15 patients with Fraser syndrome were found. Majority of the patients were males and presented in the pediatric age group. Bilateral involvement was more common, and the most common variant of cryptophthalmos was abortive. Complete and medial madarosis of the eyebrows was the most common periocular finding. Complete cryptophthalmos was associated with cystic globes, whereas abortive forms had superior symblepharon. Common systemic features included syndactyly, bifid nose, and urogenital anomaly. Conclusion: Fraser syndrome is an extremely rare developmental disorder; it encompasses a wide range of ocular, periocular, and orbital anomalies, along with multiple pre-existing systemic anomalies. The treating ophthalmologist should always be careful in examining these patients.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2559;epage=2563;aulast=Dasabortive cryptophthalmoscomplete cryptophthalmoseyelid developmental disorderfraser syndromesyndactyly
spellingShingle Deepsekhar Das
Sujeeth Modaboyina
Sandton Raj
Sahil Agrawal
Mandeep Singh Bajaj
Clinical features and orbital anomalies in Fraser syndrome and a review of management options
Indian Journal of Ophthalmology
abortive cryptophthalmos
complete cryptophthalmos
eyelid developmental disorder
fraser syndrome
syndactyly
title Clinical features and orbital anomalies in Fraser syndrome and a review of management options
title_full Clinical features and orbital anomalies in Fraser syndrome and a review of management options
title_fullStr Clinical features and orbital anomalies in Fraser syndrome and a review of management options
title_full_unstemmed Clinical features and orbital anomalies in Fraser syndrome and a review of management options
title_short Clinical features and orbital anomalies in Fraser syndrome and a review of management options
title_sort clinical features and orbital anomalies in fraser syndrome and a review of management options
topic abortive cryptophthalmos
complete cryptophthalmos
eyelid developmental disorder
fraser syndrome
syndactyly
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2559;epage=2563;aulast=Das
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AT sandtonraj clinicalfeaturesandorbitalanomaliesinfrasersyndromeandareviewofmanagementoptions
AT sahilagrawal clinicalfeaturesandorbitalanomaliesinfrasersyndromeandareviewofmanagementoptions
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