Figure 2.46. This patient demonstrates bilateral ble-pharoptosis, blepharophimosis, and epicanthus inver-sus with normal globes and normal vision which occurs as an autosomal dominant. This is distinct from bilateral anophthalmia, microphthalmia, or nanoph-thalmia where the globes are not present or small with absent or impaired vision. The epicanthus is a crescen-tic fold of skin running vertically between the lids over the inner canthus. It can be most prominent in the upper eyelid (epicanthus tarsalis); most prominent in the lower eyelid (epicanthus inversus); or equally distributed between the upper and lower eyelids (epicanthus palpebralis).
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