The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
	The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Bilateral euryblepharon

Photo by Professor Chua Chung Nen

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.

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