Epicanthus is not a new or extremely rare condition, and one finds scattered through the literature reports of isolated cases.1 It is my purpose in this paper not to offer a bibliographic review of epicanthus (the reader is referred to the work of Forster2 and Brückner3 for 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.
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"4 epicanthus is described as follows:
a congenital deformity in which a fold of skin, with its concavity lateralwards extends from the side
GOLDBERGER E. EPICANTHUS AND ITS VARIANTS AMONG CAUCASIANS. Arch Ophthalmol. 1936;16(3):506-515. doi:10.1001/archopht.1936.00840210180017