Congenital trichomegaly (Oliver-McFarlane syndrome): a case report with 9 years' follow up

In 1965 Oliver and McFarlane1 reported on the association of long eyelashes, pigmentary degeneration of the retina, and mental and growth retardation in an isolated case of a male child. The syndrome was called “congenital trichomegaly.” Only six cases, four children and two adults, have been described since then.2–6 The present report describes the eighth case of Oliver-McFarlane syndrome and documents a 9 year follow up. A 5½ year old boy presented with progressive visual deterioration in both eyes. Visual problems had become apparent from the second year of age. He was delivered at term without complications weighing 2220 g. Physical examination revealed a weight of 14 kg, a height of 102 cm, and a head circumference of 49 cm. Bone age studies ( x ray of the hand) indicated a retardation in bone development with skeletal age of approximately 3 years. His …