Objective: Distance between the inner canthi more than 2 SD above the mean
Subjective: Apparently increased distance between the inner canthi
Telecanthus may be present without (Fig. A) or with (Fig. B) Widely spaced eyes. In the latter case, Widely spaced eyes should be coded separately. Inner canthal distance varies among ethnic groups. Norms are available for American Africans [Murphy and Laskin, [1990]], Chinese [Wu et al., [2000]], and Caucasians [Laestadius et al., [1969]; Feingold and Bossert, [1974]; Merlob et al., [1984]; Evereklioglu et al., [2001]]. In the presence of an Epicanthal fold, ascertainment of inner canthal distance can be difficult.
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