Blepharophimosis
 

Ptosis and inverted epicanthal folds in blepharophimosis.

The patient has bilateral ptosis with reduced lid size.There are inverted epicanthal folds, telecanthus. The nasal bridge is flat and there is hypoplastic orbital rim. Other examination: there may be strabismus and sometimes nystagmus the condition is autosomal dominant and therefore ask to see family member. However, other members may have had surgery. Look for lid scars in the family members.

Questions:

1. How would you treat the patient surgically?

answer
Multiple stages are often neede. First correctio of the telecanthus and canthus inversus.
Then, the ptosis is treated by frontalis sling.

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