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INTERESTING CASE OF GOLDENHARS SYNDRONE IN A THREE YEARS OLD CHILD MAURICE GOLDENHAR AN AUSTRIAN OPHTHALMOLOGIST WAS THE FIRST TO DESCRIBE IN YEAR 1850 A SYNDROME COMPLEX CHARATERISED BY CONG LIMBAL DERMIOD WITH CONG ASDICIATED PRESENCE OF PREAURICULAR SKIN TAG OR PREAURICULAR APPENDAGE SOMETIMES PRESENCE OF SQUINT ANOPHTHALMIS AND COLOBOMA OF UPPER LID MAY ALSO BE SEEN BUT IT IS VERY RARE G H S IS ALSO TERMED AS OCULO AUTICULO VERTEBRAL DYSPLASIA AND CRANIOFACIAL DYSPLASIA INVOLVING HEAD FACE EAR NOSE SOFT PALATE AND MANDIBLE 5 TO 15 PERECENT CASES OF G H S HAVE ADFITIONAL CONG DEFECTS WHICH ARE DUE TO INCOMPLETE DEVOLPEMENT OF IST AND SECOND BRANCHIAL ARCH NOT INHERETED AUTOSOMAL DOMINANT AND RESASSIVE OTHERWISE 85 PERCENT CASES OF G H S ARE NORMAL FROM VISION AND MENTAL FACALITY POINT OF VIEW CONG LIMBAL DERMIODS ARE USUALLY UNILATERAL CAN BE BILATERAL BUT RARE INFEROTEMPORAL SITE IS THE COMMONEST ABOUT 70 PERCENT INCIDENCE IS 1 IN 10 000 THEY MAY INVOLVE ENTIRE CORNEA OR MAY BE ONLY CONFINED TO CONJUCTIVA MALE FEMALE IS 3:TO 2 THEY ARE GRADED ACVORFING TO. CORNEAL INVOLVEMENT GRADE 1 IS INVOLVEMENT OF EPETHELIUM GRADE 2. IS INVOLVEMENT OF DESTMETS MEMBRANE GRADE 3 IS INVOLVEMENT OF WHOLE OF ANT SEG IF LIMBAL DERMIOD GOES NOT INVOLVE VIDUAL AXIS THE TREATMENT IS REASDURANCE OBSERVATION IF IT INVOLVES VISUAL AXIS AND THRETENS VISION TREAMENT IS SURGECAL WHICH IS BOTH VISUAL AND COSMOTIC DURGECAL MODALITY ARE LAMELLAR KERSTAPLASTY AUTOGRAFT STEM CELL GRAFT AMIONOTIC MEMBRANE GRAFT SMILE LENTICULE TSTOOING AND FIBRIN GLUE MY 3 YEARS OLD VHILD HAD GRADE 1 CONG L DERMIOD WITH CON PREAURICULAR SKIN TAG NO OTHER ASSOCIATED CONG LEDIONS VA REF AND FUNDII ARE NORMAL SO TREAMENT WAS ONLY OBSERVATION REASSURANCE

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