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  Vol. 118 No. 3, March 2000 TABLE OF CONTENTS
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Familial Occurrence of Ablepharon Macrostomia Syndrome: Eyelid Structure and Surgical Considerations

Arch Ophthalmol. 2000;118:428-430.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Ablepharon macrostomia syndrome (AMS) is a rare congenital disorder. To our knowledge, only 4 cases have been reported since the original description of this syndrome by McCarthy and West1 in 1977.2-5 The syndrome is characterized by redundant skin, low-set ears, macrostomia, ambiguous genitalia, and severe eyelid malformation.1-5 Although the designation ablepharon literally means absence of eyelids, some patients have been described as having inadequate3 or shortened2 eyelids. Several techniques have been used to reconstruct the eyelids in patients with AMS, including rotational and bridge flaps.2-3

Four years ago we had the opportunity to operate on one patient with AMS.4 At that time we suggested that the eyelid condition in AMS should not be considered a true example of ablepharia because key anatomical structures were clearly present in the malformed upper eyelids.4 The relative normality of the posterior lamella allowed us to make an excellent reconstruction using free skin grafts only.4

. . . [Full Text of this Article]

Report of a Case


Surgical Repair
Upper Eyelid

Lower Eyelid


Comment
Antonio A. V. Cruz, MD, PhD; Carmo A. Souza, MD; Victor E. F. Ferraz, MD; Carlos A. C. Monteiro, MD; Fabiana A. Martins, MD
São Paulo, Brazil

Corresponding author: Antonio A. V. Cruz, Departamento de Oftalmologia, Hospital das Clínicas–Campus, Faculdade de Medicina de Ribeirão Preto–USP, Ribeirão Preto, São Paulo 14048-900, Brazil (e-mail: aavecruz@fmrp.usp.br).



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