The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.




Photo by Professor Chua Chung Nen

This 9-month old girl is referred by the paediatrian because of facial dysmorphism. She has hypertelorism (increased distance between the two medial orbital wall), otherwise, the ocular examination is unremarkable. Her mother also exhibits hypertelorism and has no medical or ocular problems. Inspection of the parents should form part of the examination in patients with facial dysmorphism as very often the parents may have similar findings as in this case.


Hypertelorism. This term is sometimes confused with telecanthus which refers to increased

distance between the medial canthi (as in blepharophimosis). Generally, patients with

hypertelorism also has telecanthus but not vice versa.


The mother also has hypertelorism.

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