Goldenhar's syndrome is a sporadic, non-hereditary syndrome detected in infancy. Goldenhar's syndrome is a triad of anomalies including ocular epibulbar dermoids , anomalies of the ear, and vertebral anomalies . Auricular anomalies include external ear tags and aural fistulae . Cosmetic surgery is often performed in early childhood to correct the external ear deformities. Vertebral skeletal anomalies may include kypho-scoliosis and defects of the cervical spine.
Facial asymmetry is often present.
The eyelid deformities may be corrected by cosmetic eyelid surgery in early childhood. Duane syndrome may be associated with Goldenhar's syndrome. Epibulbar dermoids are benign fibrous tumors found on the edge of the cornea . The main concern about epibulbar dermoids is development of corneal astigmatism which may lead to amblyopia , i.e. lazy eye syndrome . Epibulbar dermoids are sometimes remove for cosmetic reasons.