An ‘Atypical’ Case of Vertical Retraction Syndrome in Association with Klippel-Feil Syndrome

Linda Santamaria MAppSc, DipAppSc(Orth), DOBA

A case is presented of a young child with an ‘atypical’ vertical retraction syndrome, demonstrated by limitation of ocular movement and lid retraction on depression without any associated globe retraction. The child has Goldenhar syndrome, including a Klippel-Feil anomaly, an external ear malformation and various other congenital anomalies. This case illustrates the wide range of associated anomalies that can present with problems such as Klippel-Feil disorder and Duane’s retraction syndrome, suggesting a common teratogenic incident between the fourth and eighth weeks of gestation.