Abstract

Ocular features described as part of the McDonough syndrome include eyelid anomalies like blepharophimosis and ptosis in conjunction with motility defects of the eye with the presence of strabismus. We report a unique case of an 11-year-old child with facial and systemic features characteristic of the McDonough syndrome who presented with decreased vision in both eyes secondary to Bowman's membrane corneal dystrophy. This could represent a new association in the spectrum of the features of the McDonough syndrome or it could even represent a syndrome that has not yet been described. Moreover, it is important to rule out the presence of Bowman's membrane dystrophy as a cause for decreased vision in such patients.

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