The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
This 35 year-old man
complains of recurrent epiphora. The puncta are in normal position
and of normal size. Syringing of the nasolacrimal ducts are patent. However, the eyelids
show abnormal enlargment of the palpebral aperture with excessive
lengthening of the lower lids. In addition, the lateral canthi were inserted
more inferiorly and anteriorly than the normal population. These features
are typical of euryblepharon. The epiphora is caused by the inefficient
pumping actions of the eyelids. Lateral tarsal strip that shorten and
tighten the eyelids is an effective procedure for this condition.
Abnormal increased vertical palpebral
aperture with excessive lengthening of the lower lids.
The lateral canthi are inserted more
inferiorly and anteriorly than the normal.