“…This phenomenon is more pronounced in the upper half of the body and thus responsible for the typical phenotype of hands, arms, chest, neck, head, and face. 7 We hypothesize that skin extension of the eyelids results in a higher number of eyelashes and a greater vertical insertion distance. Similar, but not the identical ocular adnexal findings, such as increase in number of eyelashes together with ptosis and neck webbing due to intrauterine lymphedema can be found in the lymphedema-distichiasis syndrome.…”