blepharophimosis syndrome; blepharophimosis, ptosis, & epicanthus inversus syndrome (BPES)
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Genetics
- autosomal dominant
- associated with defects in FOXL2 gene
Clinical manifestations
- eyelid dysplasia
- small palpebral fissures
- drooping eyelids
- skin fold running inward & upward from the lower lid
- in type 1 BPSE (BPES1)
- eyelid abnormalities are associated with female infertility
- affected females show an ovarian deficit due to primary amenorrhea or to premature ovarian failure
- in type 2 BPSE (BPES2)
- affected individuals show only the eyelid defects