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New findings in the Parry-Romberg syndrome: a case report
F Bandello1, N Rosa, F Ghisolfi
1Department of Ophthalmology, University of Udine, Italy. Francesco.Bandello@dsc.uniud.it
Purpose:
To describe further findings in the Parry-Romberg syndrome that might contribute towards a better understanding of the disease.
Design:
Case report.
Methods:
The clinical history of a patient with the Parry-Romberg syndrome was studied, and fluorangiography and echography were carried out.
Results:
Clinical observation revealed classic hemifacial atrophy; fluorescein angiography showed telangiectasis, light staining of the retina, and leakage from the largest telangiectasis and the optic disc vessels; echography showed shrinkage of the eyeball and thinning of the extraocular muscles.
Conclusions:
Enophthalmos in this disease is caused not only by progressive fat atrophy but also by shrinkage of the eyeball and thinning of the extraocular muscles; the shrinkage of the eyeball helps explain the presence of choroidal and retinal folding and hyperopia, confirming the primary involvement of connective tissue in this disease.