In euryblepharon, the lateral aspect of the palpebral aperture is enlarged, with downward displacement of the temporal half of the lower eyelid. This condition gives the appearance of a very wide palpebral fissure or a droopy lower eyelid. Euryblepharon may occur in Kabuki syndrome. Most patients do not require treatment.
Figure 17-7 Distichiasis. An accessory row of eyelashes exits from the meibomian gland orifices.
(Reproduced with permission from Patil BB, Bell R, Brice G, Jeffery S, Desai SP. Distichiasis without lymphoedema? Eye (Lond). 2004;18(12):1270–1272.)
Figure 17-8 Epicanthus, bilateral. A, Epicanthus tarsalis. B, Epicanthus palpebralis.
(Part A reproduced with permission from Crouch E. The Child’s Eye: Strabismus and Amblyopia. Slide script. San Francisco: American Academy of Ophthalmology; 1982. Part B courtesy of Robert W. Hered, MD.)
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.