Epicanthus

Figure 5.9 shows that this is characterised by vertical folds of skin at the inner canthus. These folds are seen quite commonly in otherwise normal infants and they gradually disappear as the facial bones develop. Children with epican-thus might appear to the uninitiated to be

Figure 5.8. Cross-section of a normal eyelid.CO

Figure 5.7. Schirmer's test.EQ

Levator muscle of Muller

Levator muscle of Muller

Figure 5.8. Cross-section of a normal eyelid.CO

Figure 5.9. Epicanthus.tB

squinting and this can cause considerable parental anxiety. It is important to explain that the squint is simply an optical illusion once the absence of any true deviation of the eyes has been confirmed. Epicanthus persists into adult life in Mongolian races, and occasionally it is seen in European adults. It can also be associated with other eyelid deformities.

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