Oculopharyngeal muscular dystrophy Oculopharyngeal muscular dystrophy (OPMD) is a late-onset autosomal dominant dystrophy, and is clinically characterised by slowly progressive ptosis, dysphagia and dysphonia. Proximal limb weakness often develops subsequently [59]. There are few reports on muscle imaging in OPMD. Abnormal fatty infiltration of the tongue, masseter, neck, shoulder girdle, lumbar paraspinous and the gluteus muscles have been described [60].