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Published on: May 13, 2016
A 5-month-old girl with amniotic band syndrome
Shipra Sharda1, Neha Rathie1, Deepanshu Bodwal1
1Guru Nanak Eye Centre, New Delhi, India.
Insights
Congenital amniotic band syndrome (ABS) can cause severe eye deformities. This case highlights ABS presenting only with ocular issues, requiring complex eyelid reconstruction to preserve vision.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Medical Genetics
Background:
- Congenital amniotic band syndrome (ABS) is a rare constrictive disorder.
- Ocular manifestations of ABS typically involve limb deformities due to vascular compromise.
- Isolated ocular and periocular deformities are uncommon presentations of ABS.
Abstract:
A 5-month-old girl presented with bilateral upper and lower eyelid cicatricial ectropion with right eye exposure keratopathy and bilateral lateral canthal defects. Physical examination revealed a constriction band over the temporal area of the head and nasal bridge; she was diagnosed with congenital amniotic band syndrome (ABS). Upper and lower eyelid reconstruction procedures were performed along with lateral canthal reconstruction to salvage the remaining left eye. Congenital ABS is a rare disorder. Most cases of ocular ABS are associated with limb deformities due to constriction defects and blood flow restrictions. Our patient presented solely with ocular and periocular deformities.
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