The history and examination are mos

The history and examination are most consistent with the diagnosis of epiblepharon.Infants may be asymptomatic because their soft lashes do not irritate the cornea. As children age,the lashes become coarse,causing ocular irritation and epiphora.The family history of a symptomatic sibling whose epiphora resolved is consistent with the diagnosis of epiblepharon because the facial features in siblings are often similar.As facial elongation occurs with age,epiblepharon can spontaneously resolve becausu excess skin is pulled inferiorly.Entropion results from an inward rotation of the eyelid margin,which does not occur in epiblepharon.is a congenital widening of the palpebral fissure,usually involving increased vertical widening of the temporal portion.Trichiasis describes misdirected eyelashes resulting from chronic inflammation of the eyelid margin.