Epicanthal folds

  • Definition
    • An epicanthal fold is skin of the upper eyelid that covers the inner corner of the eye. The fold runs from nose to the inner side of the eyebrow.

  • Alternative Names
    • Plica palpebronasalis

  • Causes
  • Home Care
    • In most cases, no home care needed.

  • When to Contact a Medical Professional
    • This trait is most often found before or during the first well-baby exam. Call your health care provider if you notice epicanthal folds on your child's eyes and the reason for their presence is unknown.

  • What to Expect at Your Office Visit
    • The provider will examine the child and ask questions about the medical history and symptoms. Questions may include:

      • Do any family members have Down syndrome or other genetic disorder?
      • Is there a family history of intellectual disability or birth defects?

      A child who is not Asian and is born with epicanthal folds may be examined for additional signs of Down syndrome or other genetic disorders.

  • References
    • Olitsky SE, Hug D, Plummer LS, Stass-Isern M. Abnormalities of the lids. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 616.