Blepharophimosis

Blepharophimosis is a decrease in the size of the palpebral fissure. Usually congenital.

Blepharophimosis is characterized by abnormally small palpebral fissures due to underdevelopment of the eye bones and muscles. This leads to difficulty opening the eyelids and limiting the field of vision.

The causes of blepharophimosis can be either genetic (syndromic forms) or acquired. Syndromic forms include BPES syndrome, Ablepharophimosis-epicanthus-inversion of lacrimal puncta syndrome.

Diagnosis is based on the clinical picture and genetic analysis data. Treatment is mainly surgical and is aimed at eliminating anatomical defects to improve eyelid mobility and expand the field of vision.

Thus, blepharophimosis is a rare congenital eye disease that requires an integrated approach to diagnosis and treatment. Timely surgical intervention can significantly improve the quality of life of patients.



Blepharophimosis is a condition where the eyelids become pinched or hardened and become too small to open the eyes fully. This can happen in both children and adults.

In children, blepharocytes are noted at birth. Blepharophimosis can be caused by a genetic predisposition, eyelid injury, insufficient subcutaneous fat in this area of ​​the face, infection, toxins, or radiation exposure. Symptoms of blepharophism usually appear at an early age; such children look unhealthy, tired from constant tension on the eye muscles and decreased visual function. The course of the disease depends both on the degree of its severity and on the reasons that caused the development of the disease. In some patients, blepharophysis progresses during the first years of life and is combined with asthenoneurotic syndrome and pseudoparalytic syndrome [8]. Blepharophysm can lead to severe glaucoma due to narrowing of the palpebral fissure, so the symptoms of such a disease should alert parents and cause an immediate response from specialists



. Blipharophemosis. Blipharophimosis, often also called entropion of the eyelid (lat. Blepharophimosis), is a rare and poorly studied strabismus. It is manifested by insufficient mobility of the upper eyelids or their incorrect mobility: when lowered over the eye, the edge of the eyelid turns up, covers the eye, or hangs over it in the normal position. This leads to blindness in one or both eyes, depending on whether the conjunctival lesion is directly observed or whether the inversion of the eyelid is accompanied by mechanical closure of the corner of the eye or blockage of the lacrimal ducts. **The clinical picture** does not always allow one to accurately determine the cause-and-effect relationship between this pathology and other ophthalmological conditions. For example, despite the apparent common nature of the diseases, the clinical outcome of pathological conditions in each specific case may differ. For example, in the treatment of leptopticosis, based on the clinical picture, contrast thermal reflexology (CTRT) is used, which has a positive effect almost immediately, but in case of blipharophema, it is necessary to carry out an extremely long-term complex of treatment measures that do not lead to the desired result. All this forces us to focus our efforts on determining the cause-and-effect relationship between the disease and possible treatment.