Almond-shaped palpebral fissure Almond shaped eyes A shape created by an acute downward arching of the upper eyelid and upward arching of the lower eyelid, toward the medial canthus, which gives the outline of the palpebral fissures the configuration of an almond. Thus, the maximum distance between the fissures is offset from, and medial to, the center point. The almond configuration tends to dissipate with time, as the surrounding tissues (e.g., eyelid, nasal bridge) grow. Almond-shaped opening between the eyelids HP:0007874 UMLS:C4024780 Abnormal shape of the palpebral fissure