The patient has bilateral ptosis with reduced lid size.There are inverted epicanthal folds, telecanthus. The nasal bridge is flat and there is hypoplastic orbital rim. Other examination:
- there may be strabismus and sometimes nystagmus
- the condition is autosomal dominant and therefore ask to see family member. However, other members may have had surgery. Look for lid scars in the family members.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhWtTbk7Gh8kxqKm01XyeBM7pWWBaYEXLdltx0m5sIhl1f9K_VdOYwbZc7ktcPiFO-yMyQisLoH7jujQtUWnCyioPxBEdZoyy2xSl2fxflphFAzaA5I5NlZxr-AWgMaoqKTGHD3wL5pak/s400/blepharophimosis.jpg)