In the present study, the shape and position of the palpebral fissure
of the South Indian ethnic population were evaluated (Table 1), and the data were compared with other racial and ethnic groups (Tables 3,4).
Reduced palpebral fissure
length is also evident in the 12-year-old FAS group.
lengths: These were taken from the median to the lateral canthi of the eye.
blade and lifting the fused palpebral fissure
with the help of Allies tissue forceps.
A 1-year-old male cinnamon pearl cockatiel (Nymphicus hollandicus) was presented for evaluation of apparent fusion of the upper and lower right eyelids and narrowing of the palpebral fissure
of the left eye.
It was associated with narrowing of palpebral fissure
and with retraction of the eye ball on abduction (Fig 3 & 4).
The patient had a dysmorphic face, short palpebral fissures
, retrognatia, micrognatia and angular nose (Figure 1).
All preoperative data regarding palpebral fissure
heights, marginal reflex distance (MRD1) , absence or presence of lid crease, levator function, Bells phenomenon, were entered in the case records prior to any surgical intervention.
It is also been reported with Di George syndrome which include Hypertelorism, low set ears, Micrognathia, small fish like mouth, short down slanting palpebral fissure
, absent pinna, cleft lip and high arch palate .
On careful examination of the patient we observed wide palpebral fissure
and coloboma in lateral part of both lower eyelids (Fig i).
In cases of asymmetrical janiceps monosymmetros, the greater face remains normal and the duplicated axial orientations converge in the plane of the lesser partial face resulting in incomplete facial features such as a single naris, cyclopic eyes, synoptic ears, a proboscis or two small eyes in a single palpebral fissure
At 4 years old, he presented with a large anterior fontanelle, low-set ears, bushy eyebrows, synophrys, shallow orbit, mild proptosis, hypertelorism, flat nasal bridge, micrognathia, downslanted palpebral fissures
, short neck, stubby fingers, and joint hypermobility [Figure 1]a and [Figure 1]c; and his immunoglobulin E (IgE) increased (no exact data), but without allergic symptom.
His neuromotor development was normal and hypertelorism, downslanting palpebral fissures
, hypoplasia of right auricle, hypoplasia of the maxillary bones and narrow forehead were observed on his physical examination.
The three typical facial changes that have been used to make this diagnosis since the 1970s include short palpebral fissures
, a shallow or lack of philtrum, and a thin vermilion border of the upper lip.
Typical physical signs of FASD include short palpebral fissures
, a smooth philtrum, and a vermilion border of the upper lip that may be thinner than normal, along with midface hypoplasia.