Epicanthus and Its Variants Among Caucasians

Epicanthus is not a new or extremely rare condition, and one finds scattered through the literature reports of isolated cases.1It is my purpose in this paper not to offer a bibliographic review of epicanthus (the reader is referred to the work of Forster2and Brückner3for good clinical reviews) but rather to present a critical analysis of the condition in the light of recent developments in the field and of my own clinical observations. DEFINITION I present the following material merely as a means of introducing the discussion of the subject, as I shall try to show that epicanthus is a far more complex condition than the simple description given leads one to believe: In the "American Encyclopedia and Dictionary of Ophthalmology"4epicanthus is described as follows: a congenital deformity in which a fold of skin, with its concavity lateralwards extends from the side