4

Figure 7.49 Palpebral fissure inclination, both sexes, 6 to 18 years. From Farkas (1981), by permission.

Pitfalls The eyes should be open and relaxed, since the outer canthus is lower than the inner canthus when the eye is closed. The presence of epicanthal folds makes it difficult to locate the inner canthi. The presence of ectropion or lateral supraorbital fullness may create a false illusion of down-slanting palpebral fissures.

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