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blepharophimosis

This article provides a straightforward breakdown of blepharophimosis' causes, symptoms, diagnosis, treatment, and prevention.

Causes:

Genetic factors are mostly responsible for blepharophimosis. It is often inherited in an autosomal dominant pattern, meaning a mutation in one gene from one parent is sufficient to cause the condition. Blepharophimosis is commonly associated with mutations in the FOXL2 gene.

Symptoms:

  1. Blepharophimosis is characterized by narrowed eye openings (palpebral fissures), giving the appearance of small eyes.

  2. The upper eyelids droop due to ptosis.

  3. An epicanthus inversus is a vertical fold of skin on the inside corner of the eye.

  4. An increase in the distance between the inner corners of the eyes is called telecanthus.

Diagnosis:

Physical examinations by an ophthalmologist or geneticist are usually required to diagnose blepharophimosis. A clinical diagnosis can be made based on the characteristic facial features, particularly the narrow openings of the eyelids. Genetic testing can also be used to confirm if the FOXL2 gene is mutated.

Treatment:

Blepharophimosis is treated according to the severity of the condition and the specific symptoms present.

  • Surgery of the eyelids: To correct ptosis and widen the eyelid openings.

  • An eyelid surgery that addresses telecanthus by repositioning the outer corner of the eye.

  • The surgical correction of epicanthus inversus is known as epicanthoplasty.

To prevent complications such as visual impairment and to improve aesthetics, early intervention is crucial.

Prevention:

As blepharophimosis is primarily a genetic condition, it can be difficult to prevent it. However, genetic counseling can be beneficial to individuals with a family history of it. In this way, family planning decisions can be based on understanding the risk of passing on a mutated gene to future generations.

The condition of blepharophimosis is characterized by narrowing of the eye openings, often accompanied by other facial abnormalities. In individuals with affected vision, early diagnosis and appropriate treatment can improve their visual function and aesthetic appearance.

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