Several of the reported cases of Klippel-Feil deformity have exhibited a variety of squints. The following case is reported because of the unusual ocular findings.
The patient, a white boy born in 1949, was first seen in the eye clinic in 1952 because his parents thought he had a squint. At that time no squint was noted. However, because of poor cooperation excursions were not tested. Retinoscopy showed O. D.+ 1.75 sph; O. S. +2.00 sph. The fundi were normal.
The child was noted to have a cleft palate, flat feet with lengthening of the longitudinal arch and slight valgus of the heels, and a typical Klippel-Feil deformity of the neck. X-rays revealed poor segmentation of the cervical spine with fusion of both the vertebral bodies and spinous processes and hemivertebrae. Spina bifida occulta of the upper two dorsal vertebrae was present. There was no family history of strabismus or
WITZEL SH. Congenital Paralysis of Lateral Conjugate GazeOccurrence in a Case of Klippel-Feil Syndrome. AMA Arch Ophthalmol. 1958;59(3):463-464. doi:10.1001/archopht.1958.00940040169020