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[Description of palpebral involvement in Fraser's syndrome]
E Hadjadj1, J Conrath, D Denis
1Service d'Ophtalmologie, Hôpital Nord, Chemin des Bourrelys, Marseille.
Goal:
Fraser's syndrome is a rare multiple malformation involving the eyes, with cryptophthalmos. In its complete form, cryptophthalmos is a serious malformation with absence of eyelids and palpebral fissure. A review of ophthalmological signs is presented.
Case Report:
A case of Fraser's syndrome is presented. Ophthalmological and somatic examination as well as evolution are described.
Results:
Incomplete cryptophthalmos with symblepharon and bilateral palpebral coloboma are present. Surgical treatment with palpebral reconstruction allowed preservation of visual acuity in one eye.
Discussion:
Ophthalmological signs are present in 93% of cases. Eyelid involvement such as symblepharon, and partial or complete coloboma are relatively frequent, whereas cryptophthalmos in its complete form are much more rare.
Conclusion:
Treatment involves palpebral reconstructive surgery in order to preserve visual function.