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ARTICLES
Year : 1970  |  Volume : 18  |  Issue : 1  |  Page : 37-38

Oculo-auricular dysplasta - a case report


Medical College, Aurangabad, India

Correspondence Address:
D L Maria
Medical College, Aurangabad
India
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How to cite this article:
Maria D L, Tehra K G, Kale M D. Oculo-auricular dysplasta - a case report. Indian J Ophthalmol 1970;18:37-8

How to cite this URL:
Maria D L, Tehra K G, Kale M D. Oculo-auricular dysplasta - a case report. Indian J Ophthalmol [serial online] 1970 [cited 2024 Mar 28];18:37-8. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?1970/18/1/37/35059

This rare syndrome was first described by Goldenhar [1] . It is characterised by epibulbar dermoids; accessary auricular appendages and aural fistulae. This is unilateral and sometimes may be associated with mandibulo facial dysostosis.

Rarely other anomalies of the eye; nervous, muscular and skeletal systems may be associated with Goldenhar's syndrome. Recently a case of Oculo auricular Cranial dysplasia, having hydrocephalous meningo - encephalo­cele and a-nasal deformity along with Goldenhar's syndrome has been reported by Gupta J. S [2] .

We have come across an adult male having bilateral auricular appandages, epibulbar dermoid and othe rare anomalies. This case is being reported because of its extreme rarity, mixed picture of Goldenhar syndrome with other rare anomalies and bilateral auricular appendages.


  Case Report Top


A twenty years old hindu male was admitted in the ophthalmology depart­ment on 12-8-1968 with cosmetic disfigurement and diminution of vision. He was moderately built with normal mental behaviour. schooling in the tenth class. The face was asymmetrical slightly deviating to the left side with slight underdeveloped mandible. There was one necessary auricular appandage on the right side and two on the left side. (Plates 1 and 2)

The left side of the chest was more prominent with scoliosis to the right side in the mid thoracic region. There was a hypopigmented patch on the right iliac region. (Plate 3)

There was bilateral microphthalmos, with dermoid cyst on the outer side of the limbus in the left eye showing fine hairs. (Plate 4)

The cyst was pigmented with keratosis. The iris on the left side showed typical coloboma while the right iris was normal. Both fundi showed coloboma of the choroid in the typical position. Vision of both the eyes was 3/60 and tension was 13 mm. Hg. The vision could not be improved with glasses.

He had five brothers and two sisters all being normal except one brother who had congenital absence of fingers of the left hand. No anomaly of any kind is present among his paternal and maternal relations as far as he could tell.

Dermoid cyst was excised on 20th August 1968.


  Summary Top


A rare case of Oculo-Auricular dysplasia having anomalies on both sides with slight deviation of the face to the left side with under developed mandible, scoliosis and prominence of left side chest is presented.

 
  References Top

1.
Goldenhar- Quoted by Duke Elder System of Ophthalmology Vol. III part 2. Henry Kimpton, London P. 1021, 1964.  Back to cited text no. 1
    
2.
Gupta J. S., Gupta S. G. - British Journal of Ophthalmology. Vol. 52. P 346-47. 1968.  Back to cited text no. 2
    


    Figures

  [Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4]



 

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