Severe hypertelorism with midface prominence, myopia, mental retardation, and bone fragility is an extremely rare constellation of findings that have been reported to occur only in siblings from a single isolated family to date. The condition involves an extreme degree of hypertelorism, not seen in other conditions. Other differentiating craniofacial anomalies include abnormally modeled ears, enamel hypoplasia, high myopia, sensorineural deafness, and osteopenia with fractures.