New findings in the Parry-Romberg syndrome: a case report.

PURPOSE: To describe further findings in the Parry-Romberg syndrome that might contribute towards a better understanding of the disease.

DESIGN

Case report.

METHODS

The clinical history of a patient with the Parry-Romberg syndrome was studied, and fluorangiography and echography were carried out.

RESULTS

Clinical observation revealed classic hemifacial atrophy; fluorescein angiography showed telangiectasis, light staining of the retina, and leakage from the largest telangiectasis and the optic disc vessels; echography showed shrinkage of the eyeball and thinning of the extraocular muscles.

CONCLUSIONS

Enophthalmos in this disease is caused not only by progressive fat atrophy but also by shrinkage of the eyeball and thinning of the extraocular muscles; the shrinkage of the eyeball helps explain the presence of choroidal and retinal folding and hyperopia, confirming the primary involvement of connective tissue in this disease.