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Blepharophimosis, Ptosis, and Epicanthus Inversus Syndrome

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Atlas of Genetic Diagnosis and Counseling
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Abstract

In 1921, Komoto reported the first case known today as blepharophimosis, ptosis, and epicanthus inversus syndrome (BPES), with the triad of wide set eyes, ectropion, excessive brow hair, and hypoplasia of the caruncle and relatives with similar phenotypic features. Later that year, Dimitry described a family with the above triad and traced the pedigree of “blepharophimosis syndrome,” apparently transmitted in an autosomal dominant manner for the first time. In 1971, Kohn and Komoto (1971) added telecanthus to the triad of this syndrome.

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References

  • Allen, C. E., & Rubin, P. A. D. (2008). Blepharophimosis-ptosis-epicanthus inversus syndrome (BPES): Clinical manifestation and treatment. International Ophthalmology Clinics, 48, 15–23.

    Article  PubMed  Google Scholar 

  • Amati, P., Chomel, J. C., Nivelon-Chevalier, A., et al. (1995). A gene for blepharophimosis-ptosis-epicanthus inversus syndrome maps to chromosome 3q23. Human Genetics, 96, 213–215.

    Article  CAS  PubMed  Google Scholar 

  • Beaconsfield, M., Walker, J., & Collin, J. (1991). Visual development in the blepharophimosis syndrome. British Journal of Ophthalmology, 75, 746–748.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Beckingsale, P. S., Sullivan, T. J., Wong, V. A., et al. (2003). Blepharophimosis: A recommendation for early surgery in patients with severe ptosis. Clinical and Experimental Ophthalmology, 31, 138–142.

    Article  PubMed  Google Scholar 

  • Beysen, D., Raes, J., Leroy, B. P., et al. (2005). Deletions involving long-range conserved nongenic sequences upstream and downstream of FOXL2 as a novel disease-causing mechanism in blepharophimosis syndrome. American Journal of Human Genetics, 77, 205–218.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Choi, K. H., Kyung, S., Oh, S. Y., et al. (2006). The factors influencing visual development in blepharophimosis-ptosis-epicanthus inversus syndrome. Journal of Pediatric Ophthalmology and Strabismus, 43, 285–288.

    PubMed  Google Scholar 

  • Crisponi, L., Deiana, M., Loi, A., et al. (2001). The putative forkhead transcription factor FOXL2 is mutated in blepharophimosis/ptosis/epicanthus inversus syndrome. Nature Genetics, 27, 159–166.

    Article  CAS  PubMed  Google Scholar 

  • Cunniff, C., Curtis, M., Hassed, S. J., et al. (1998). Blepharophimosis: A causally heterogeneous malformation frequently associated with developmental disabilities. American Journal of Medical Genetics, 75, 52–54.

    Article  CAS  PubMed  Google Scholar 

  • Dawson, E. L., Hardy, T. G., Collins, J. R., et al. (2003). The incidence of strabismus and refractive error in patients with blepharophimosis, ptosis and epicanthus inversus syndrome (BPES). Strabismus, 11, 173–177.

    Article  CAS  PubMed  Google Scholar 

  • De Baere, E., Van Roy, N., Speleman, F., et al. (1999). Closing in on the BPES gene on 3q23: Mapping of a de Novo reciprocal translocation t(3;4)(q23;p15.2) breakpoint within a 45-kb cosmid and mapping of three candidate genes, RBP1, RBP2, and beta’-COP, distal to the breakpoint. Genomics, 57, 70–78.

    Article  PubMed  Google Scholar 

  • De Baere, E., Dixon, M. J., Small, K. W., et al. (2001). Spectrum of FOXL2 gene mutations in blepharophimosis-ptosis-epicanthus inversus (BPES) families demonstrate a genotype-phenotype correlation. Human Molecular Genetics, 10, 1591–1600.

    Article  PubMed  Google Scholar 

  • De Baere, E., Beysen, D., Oley, C., et al. (2003). FOXL2 and BPES: Mutational hotspots, phenotypic variability, and revision of the genotype-phenotype correlation. American Journal of Human Genetics, 72, 478–487.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fokstuen, S., & Antonarakis, S. (2003). FOXL2-mutations in blepharophimosis-ptosis-epicanthus inversus syndrome; challenges for genetic counseling in female patients. American Journal of Medical Genetics. Part A, 117A, 143–146.

    Article  PubMed  Google Scholar 

  • Gijsbers, A. C. J., D’Haene, B., Hilhorst-Hofstee, Y., et al. (2008). Identification of novel candidate loci associated with blepharophimosis phenotypes. Human Genetics, 124, 489–498.

    Article  PubMed  Google Scholar 

  • Kohn, R., & Romano, P. (1971). Blepharoptosis, blepharophimosis, epicanthus inversus and telecanthus – a syndrome with no name. American Journal of Ophthalmology, 72, 625–632.

    Article  CAS  PubMed  Google Scholar 

  • Krastinova, D., & Jasinski, M. (2003). Orbitoblepharophimosis syndrome: A 16 year perspective. Plastic and Reconstructive Surgery, 111, 987–999.

    Article  PubMed  Google Scholar 

  • Lee, L., & Sullivan, T. (1995). Blepharophimosis syndrome: Association with colobomatous microphthalmos. Australian and New Zealand Journal of Ophthalmology, 23, 145–147.

    Article  CAS  PubMed  Google Scholar 

  • Mari, F., Giachino, D., Russo, L., et al. (2006). Blepharophimosis, ptosis, and epicanthus inversus syndrome: Clinical and molecular analysis of a case. Journal of AAPOS, 10, 279–280.

    Article  PubMed  Google Scholar 

  • Moncla, A., Philip, N., & Mattei, J. F. (1995). Blepharophimosis-mental retardation syndrome and terminal deletion of chromosome 3p. Journal of Medical Genetics, 32, 245–246.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ohdo, S., Madokoro, H., Sonada, T., et al. (1986). Mental retardation associated with congenital heart disease, blepharophimosis, blepharoptosis, and hypoplastic teeth. Journal of Medical Genetics, 23, 242–244.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Oley, C., & Baraitser, M. (1988). Blepharophimosis, ptosis, epicanthus inversus syndrome (BPES syndrome). Journal of Medical Genetics, 25, 47–51.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sa, H-S., Lee, H. H., & Woo, K. I., et al. (2012). A new method of medial epicanthoplasty for patients with blepharophimosis-ptosis-epicanthus inversus syndrome. Ophthalmology, 119, 2402–2407.

    Google Scholar 

  • Song, X., Jia, R., Zhu, H., et al. (2015). A modified staged surgical intervention for blepharophimosis-ptosis-epicanthus inversus syndrome. Annals of Plastic Surgery, 74, 410–417.

    Article  CAS  PubMed  Google Scholar 

  • Stromland, K. (1987). Ocular involvement in the fetal alcohol syndrome. Survey of Ophthalmology, 31, 277–284.

    Article  CAS  PubMed  Google Scholar 

  • Temple, I. K., & Baraitser, M. (1989). Pitfalls in counselling of the blepharophimosis, ptosis and epicanthus inversus syndrome (BPES). Journal of Medical Genetics, 26, 517–519.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Verdin, H., & De Baere, E. (2015). Blepharophimosis, ptosis and epicanthus inversus. GeneReviews. Updated 5 Feb 2015. Available at: http://www.ncbi.nlm.nih.gov/books/NBK1441/

  • Yu, H.-C., Geiger, E. A., Medne, L., et al. (2014). An individual with blepharophimosis–ptosis–epicanthus inversus syndrome (BPES) and additional features expands the phenotype associated with mutations in KAT6B. American Journal of Medical Genetics. Part A, 164A, 950–957.

    Article  PubMed  Google Scholar 

  • Zlotogora, J., Sagi, M., & Cohen, T. (1983). The blepharophimosis, ptosis, and epicanthus inversus syndrome: Delineation of two types. American Journal of Human Genetics, 35, 1020–1027.

    CAS  PubMed  PubMed Central  Google Scholar 

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Chen, H. (2017). Blepharophimosis, Ptosis, and Epicanthus Inversus Syndrome. In: Atlas of Genetic Diagnosis and Counseling. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2401-1_26

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  • DOI: https://doi.org/10.1007/978-1-4939-2401-1_26

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  • Publisher Name: Springer, New York, NY

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