Congenital symblepharon (abortive cryptophthalmos) associated with meningoencephalocele

An 18-year-old male patient was first seen with right congenital symblepharon (abortive cryptophthalmos) and right frontal meningoencephalocele. There were no other affected members in the pedigree. Computed tomograms revealed that the right orbital roof was absent. Apart from a right harelip on the affected side, there were no other systemic abnormalities. The eye had light perception only. The upper eyelid connected with the globe and the cornea was totally opaque. Echographic studies showed that the eye was improperly developed. Electroencephalography detected slow-wave activity over the right frontoparietal region.