Blepharophimosis-Ptosis-Epicanthus Inversus Syndrome (BPES), inherited eyelid syndrome presenting with telecanthus, epicanthus inversus. Blepharophimosis-Ptosis-Epicanthus Inversus Syndrome (BPES): Part of a case and tutorial about congenital ptosis from and. Blepharophimosis, ptosis, epicanthus inversus syndrome or BPES is a rare disease characterized by the conditions it is named after: blepharophimosis, ptosis.

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Genetic Disorders UK – Blepharophimosis Ptosis Epicanthus Inversus Syndrome (BPES)

This procedure has been performed for women who have an affected twin sister with normal ovarian function. The diagnosis of BPES is based on four clinical findings which are present at the time of birth. Other disorders that appear similar include Waardenburg syndrome and Ohdo blepharophimosis syndrome.

Check this box if you wish to receive a copy of your message. Differential diagnosis The differential diagnosis of BPES includes those conditions in which ptosis or blepharophimosis are major features. Welcome to the GDUK network If this is the first time you have searched for information on a particular condition, details you find here may be distressing.

Clinical signs of this are endocrinologic or hormonal, including elevated serum levels of FSH and LH and decreased serum concentrations of estradiol and progesterone important hormones in the female reproductive system.

The canthal repair is usually addressed epicznthus ptosis, though some advocate canthal repair first. Early surgery may be necessary for amblyopia. Some experience a feeling of dryness. This article is an orphanas no other articles link to it. We need long-term synddrome funding to provide you the information that you need at your fingertips. Vignes probably first described this entity, a dysplasia of the eyelids. The prevalence of BPES is unknown, but there are no differences in prevalence based on ethnicity, sex, race or phosis.


Follow-up is important in the management of BPES. The upper eyelids droop. The patient had a palatal ridge as well as a single mesial maxillary tooth, suggesting the holoprosencephaly sequence, but CT scans of the brain were normal. No evidence of genetic heterogeneity was observed.

Shubhra Goel, MD Review: In some people the symptoms are so mild they are almost unrecognisable. In such situations, the disorder is not inherited from the parents.

These procedures are traditionally done in two stages, though it is possible to do them simultaneously. The risk is the same for males and females. In addition, chromosome analysis may be performed to screen for cytogenetic rearrangements involving 3q23 band 23 on short arm of chromosome 3. The patient was microcephalic with mild dysmorphism and minor anomalies.

The treatment of blepharophimosis requires coordination among oculoplastic surgeons, pediatric ophthalmologists, pediatric endocrinologists and eipcanthus counselors. Blepharophimosis and its association with female infertility. Symptomatic treatment is surgical.


Early surgery for ptosis is advised epicnathus the ptosis is severe and amblyogenic. The final clinical finding used for diagnosis is widely set eyes telecanthus. Dominant genetic disorders occur when only a single copy of synsrome altered gene is necessary to cause a particular disease. In some individuals, the disorder is due to a spontaneous de novo genetic mutation that occurs in the egg or sperm cell. Traditionally, correction of blepharophimosis, epicanthus inversus and telecanthus is done between the ages of three to five years, followed by ptosis correction after about one year.


The altered gene can be inherited from either parent or can be the ptosiw of a new mutation in the affected individual. The documents contained in this web site are presented for information purposes only.

Congenital Ptosis

OMIM is intended for use primarily by physicians and other professionals concerned with genetic disorders, by genetics researchers, and by advanced students in science and medicine. FOXL2 is expressed in peri-ocular tissues as well as in the fetal and adult ovaries.

Blepharophimosis plus ovarian failure: Le blepharophimosis complique familial: CC HPO: Further evidence for the location of the BPES gene at 3q2. Blepharophimosis, Ptosis, and Epicanthus Inversus syndrome BPES is an ophthalmic disorder characterized by blepharophimosis, ptosis, epicanthus inversus, and telecanthus, that can appear associated with type I or without premature ovarian failure POF; see this term type II.

For more information about these conditions, please visit the Rare Disease Database and blepharophimodis the respective disease name as your search term. Rare symptoms include microphthalmos abnormally small eyestear ducts in the wrong location, and high arched palate.