Purpose
Published anthropometric measurements of the Latino eyelid are
limited. This study describes features spanning the morphological range from
non-Latino Caucasians to East Asians in the spectrum of the Latino
eyelid.
Methods
A cross-sectional study of 68 people (32 Latinos, 18 non-Latino
Caucasians and 18 East Asians, ages 18–39), approved by the
Institutional Review Board and HIPPA-compliant, was performed. Saliva
samples determined genetic components. Indirect anthropometric measurements
were performed with ImageJ software. Eyelid measurements
included: margin reflex distance, palpebral fissure height, eyelid crease
height, orbital height, horizontal fissure length, inner and outer canthal
distances, medial and lateral canthal angles and lateral canthal angle of
inclination. Additionally, exophthalmometry and epicanthal folds were
recorded.
Results
Analysis of 184 markers from HumanExome Chip data revealed distinct
clustering patterns. Genetically, the Asian participants were in one group,
the Caucasians in another group and the Latinos spanned the spectrum between
these two groups.
In Latinos, the inner canthal distance and lateral canthal angle of
inclination were similar to Asians, while the lid crease spanned the range
from Asians to Caucasians. Half of the Latinos had epicanthal folds.
Conclusions
Latinos possess a spectrum of eyelid features spanning the
morphologic characteristics from those of non-Latino Caucasians to those of
East Asians. This normative data on Latinos from Texas and Mexico aids in
the diagnoses of Latino eyelid disorders and is a reference for optimizing
oculofacial surgery outcomes.