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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A vertical fold of skin might form from the lower eyelid up either side of the nose. The most prominent symptoms of BPES are horizontally narrow eyes blepharophimosisdrooping eyelids ptosisand a fold of skin running from the side of the nose to the lower eyelid epicanthus inversus.

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

The main treatment is symptomatic, since the underlying genetic defect cannot be corrected as of This gene controls the production of the FOXL2 protein, which is involved in the development of the muscles in the eyelid as well as the growth and development of ovarian cells. We need long-term secure funding to provide you the information that you need at your fingertips.

The upper eyelids droop. It is an uncommon dysmorphic syndrome, which primarily affect the soft tissues of the mid-face, with signs include:. From a review of the other reported cases, they concluded that a locus for eyelid development is situated at the interface of bands 3q It is e;icanthus genetic disorder affecting most notably the eyelids.

At 3 weeks of age, they showed significant overgrowth of mandibular incisors with malocclusion, and some showed palpebral anomalies and periocular hair loss. Early surgery for ptosis is advised if the ptosis is severe and amblyogenic. Blepharophimosis, ptosis, and epicanthus inversus syndrome BPES associated with interstitial deletion of band 3q Genetic Disorders UK cannot be held responsible for the accuracy of the content on this page or the content of any messages that are transmitted to support groups via our contact form.


This syndrome is almost always inherited in an autosomal dominant manner. Care should be given to treat assoicated amblyopia. Typically, four major facial features are present epicanthuus birth: The Academy uses pttosis to analyze performance and provide relevant personalized content to users of our website.

Further evidence for the location of the blepharophimosis syndrome BPES at 3q No evidence of genetic heterogeneity was observed. Shubhra Goel, MD Review: A bonus to all MIMmatch users is the option to sign up for updates on new gene-phenotype relationships. Jones and Collin reviewed 37 known cases; of the 6 females of child-bearing age, 1 had primary amenorrhea with raised gonadotropins and low estrogen and progesterone.

Blepharophimosis, ptosis, epicanthus inversus syndrome

For information about clinical trials sponsored by private sources, in the main, contact: We will try to put you in touch with other families affected by BPES. The treatment of blepharophimosis requires coordination among oculoplastic surgeons, pediatric ophthalmologists, pediatric endocrinologists and genetic counselors. Interstitial deletion of the long arm of chromosome 3. Type I is diagnosed based on the four major features mentioned as well as premature ovarian insufficiency causing infertility or subfertility in females.

Other common symptoms include lack of an eyelid fold, widely spaced eyes telecanthuslow nose bridge, and ear malformations including cupping and incomplete development.

Gandhi N, Allen RC. Other entities represented in this phosis By fluorescence in situ hybridization analysis using an assortment of probes, they found that the breakpoint in their patient lay proximal to that in the patient studied by De Baere et al. A novel polyalanine expansion in FOXL2: The third patient, however, had a del 7 q The final clinical finding used for diagnosis is widely set eyes telecanthus.


Other relevant cases had been reported by Martsolf and RayAl-Awadi et al. Clinical description BPES is congenital and is characterized by a complex bilateral eyelid malformation including blepharophimosis, ptosis, epicanthus inversus and telecanthus. Genetic, Embryologic, and Clinical Aspects.

Prognosis Prognosis is good and patients have a normal lifespan. Type II is characterized by eyelid findings without ovarian failure.

Dominant genetic disorders occur when only a single copy of an altered gene is necessary to cause a particular disease. Another example favouring the location of BPES at 3q2. She demonstrates the classic findings of blepharophimosis, telecanthus, bilateral symmetric ptosis and epicanthus epicanthua. A dominantly inherited congenital anomaly syndrome with blepharophimosis.

Detailed information Professionals Clinical genetics review English Molecular cytogenetic evaluation in a patient with epocanthus translocation 3;21 associated with blepharophimosis, ptosis, epicanthus inversus syndrome BPES.

Blepharophimosis, ptosis, epicanthus inversus syndrome – Wikipedia

An association between blepharophimosis, resistant ovary syndrome and true premature menopause. This page was last modified on October 2,at CC ]. Information on current clinical trials is posted on the Internet at www. Laparoscopy showed a small uterus and small atrophic ovaries.

The blepharophimosis, ptosis, and epicanthus inversus syndrome: Management and treatment The surgical management is traditionally performed in two stages and involves a medial canthoplasty for correction of the blepharophimosis, epicanthus inversus, and telecanthus at ages three epiccanthus five years, followed about a year later by ptosis correction.

Parental age in the blepharophimosis, ptosis, epicanthus inversus, telecanthus complex. Original article contributed by: All 8 were mentally retarded or developmentally delayed.