The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
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Hypertelorism
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.
