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An epicanthic fold or epicanthus [6] is a skin fold of the upper eyelid that covers the inner corner (medial canthus) of the eye. [3] However, variation occurs in the nature of this feature and the presence of "partial epicanthic folds" or "slight epicanthic folds" is noted in the relevant literature.
Telecanthus is often associated with many congenital disorders. Congenital disorders such as Down syndrome, fetal alcohol syndrome, cri du chat syndrome, Klinefelter syndrome, Turner syndrome, Ehlers–Danlos syndrome, Waardenburg syndrome [3] often present with prominent epicanthal folds, and if these folds are nasal (as they most commonly are) they will cause telecanthus.
Although an epicanthic fold can also be associated with a less prominent upper eyelid crease (a feature commonly termed "single eyelids" as opposed to "double eyelids"), the two features are distinct; a person may have both epicanthal folds and an upper eyelid crease, one and not the other, or neither. [2]
With age, the bridge will narrow, and the epicanthic folds in the corner of the eyes will go away. This will cause the eyes to appear wider and thus not have the appearance of strabismus. To detect the difference between strabismus and pseudostrabismus, clinicians use a flashlight to shine into the child's eyes.
An anatomical variation in humans occurs in the creases and folds of the upper eyelid. An epicanthic fold, the skin fold of the upper eyelid covering the inner corner (medial canthus) of the eye, may be present based on various factors, including ancestry, age, and certain medical conditions. In some populations the trait is almost universal ...
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Low-rooted nasal bridges are closely associated with epicanthic folds. A lower nasal bridge is more likely to cause an epicanthic fold, and vice versa. A lower nasal bridge is more likely to cause an epicanthic fold, and vice versa.
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