Abstract

Both apert and crouzon syndrome are a part of FGFR2 mutations with overlap of clinical features with each other. Both have similar clinical features with apert generally presenting with more severe clinical features. A 15 year old girl presented to our OPD with 90 PD exotropia and diminished vision in both eyes since childhood. On examination she had craniosynsotosis, hypertelorism, broad forehead, beaked nose and midfacial hypoplasia. While there was no intellectual disability, extremity features were present. She had partial syndactyly in both her hands and a neglected club foot was noted. The case was managed in 2 stage strabismus surgery. Both eyes LR recession of 9.5mm was done in the first setting. The residual 55 PD Alternating XT was further corrected by a 6mm medial rectus recession in both eyes. This case will initiate an interesting discussion about how cases with an overlap of such features can be diagnosed