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SONOGRAPHIC ASSESSMENT OF THE FETAL PALPEBRAL FISSURE SLANT—AN ADDITIONAL TOOL IN THE PRENATAL DIAGNOSIS OF SYNDROMES

✍ Scribed by GUNTHER MIELKE; KLAUS DIETZ; HEIKO FRANZ; IRWIN REISS; ULRICH GEMBRUCH


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
392 KB
Volume
17
Category
Article
ISSN
0197-3851

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✦ Synopsis


Several syndromes and aneuploidies are associated with ocular abnormalities including up-and down-slanting palpebral fissures. We describe a technique for the sonographic assessment of the fetal palpebral fissure slant which was used in 70 normal pregnancies from 14 to 36 weeks of gestation. In a frontal view of the fetal face, the inferior angle between the palpebral fissure and the midline of the skull was determined. The median angle was 89 , with a range from 87 to 90 . In selected cases, sonographic assessment of the fetal palpebral fissure slant may be a helpful additional tool in the prenatal diagnosis of syndromes, as demonstrated in a fetus with Seckel syndrome associated with downslanting palpebral fissures and in a fetus with Down's syndrome associated with upslanting palpebral fissures. 1997 by John Wiley & Sons, Ltd.