Eyelid Retraction

Upper eyelid retraction is marked by an abnormally high resting position of the upper lid. This condition results in visible sclera between the corneal limbus and the eyelid margin thereby manifesting in a stare. The eyeball surface becomes exposed beyond the eyelids. It can cause both discomfort and excessive tearing.

Lubricants (artificial tears) and ointments may alleviate symptoms. If the case is severe and/or the patient is troubled by the stare appearance, surgery may be considered. Surgery entails a method to lengthen the upper and/or lower eyelid to correct the patient’s appearance and ocular surface exposure symptoms. This procedure can lower the upper eyelid by as much as 8 mm. The repositioning can reduce irritation.

Upper Eyelid Retraction

Upper eyelid retraction can worsen if strabismus is present. It can lead to exposure keratitis, which can range from mild eye surface irritation to corneal decompensation/vision loss. Some of the most frequent causes of upper eyelid retraction include thyroid eye disease, recession of superior rectus muscle, and contralateral ptosis.