How does epiblepharon typically present in terms of eyelid margin position?

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Epiblepharon typically presents with the eyelid margin in a normal position. This condition is characterized by a duplication of the eyelid skin that creates excess skin fold, especially in the lower eyelid, but does not involve any significant malposition of the eyelid margin itself. Unlike conditions that cause the eyelid to rotate inward (entropion) or outward (ectropion), or retraction, in epiblepharon, the eyelid remains in its normal anatomical position even though the skin may cause the eyelashes to rub against the cornea.

This characteristic highlights that while the presence of epiblepharon can lead to ocular irritation due to lash contact, the eyelids themselves do not undergo a positional change that would classify them as rotated or retracted, thereby keeping the eyelid margin in a typically expected location.

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