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 teleangectases, light staining of the retina, and leakage from the largest teleangectasis 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.