Epicanthus

Question 1

Pathology and description

Answer 1

• vertical fold of skin covering inner canthus

• folds might vary from slight to well-developed

Question 2

Differential diagnosis

Answer 2

• esotropia / esophoria (eyes turn)

Question 3

Sings

Answer 3

Pseudo strabismus

Question 4

Symptoms

Answer 4

None

Question 5

Pathogenesis

Answer 5

• part of normal canthal development

• varies with ethnicity

• some children lose folds as bridge develops

Question 6

Management

Answer 6

• reassure parent / guardian

• discuss importance of routine checks

• if cannot confirm orthophoria refer to optometry

• if sudden onset squint - urgent