We report on a boy and a girl with bilateral anophthalmia and proximal
esophageal atresia, In addition to vestigial optic nerves and chiasma
, MRI studies showed other central nervous system abnormalities; one h
ad ectopic tissue in the hypothalamic region, and the other had genera
lized ventriculomegaly associated with atrophy, Two other cases, both
males, have been reported with anophthalmia and esophageal atresia as
their only malformations, These 4 cases are reviewed in light of recen
t advances in the understanding of ocular embryogenesis and of the mid
brain as a developmental field, Concurrence of these defects appears t
o be nonrandom. (C) 1995 Wiley-Liss, Inc.