Do I Have Negative Eye Vector or Sclera Show? (photo)

Hello, I have noticed that my eyes have a relatively buldgy appearance and am not completely sure if this is due to possible having negative eye vector or scleral show. Maybe it's something completely different, any help on this matter would be greatly appreciated. Thank you.

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bulging scleral show

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5 Doctor Answers | Asked by Arwing92x

Doctor Answers (5)
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Balance..

You appear to have a “scleral show” which most likely is a familial trait. You asked about the medical term “negative vector”. A negative vector refers to a plane of the cheek area that is recessed from the plane of the eyeball so that the underside of the eyeball does not have as much support as someone whose cheek plane is continuous with the plane of the eyeball. From a review of your photos, you may also have some negative vector of your face, which is seen often in African... more

Bulgy eyes and weak cheek/midface bone

You are actually quite astute in your evaluation. You have a combination of bulgy eyes [medical term is proptosis or exophthalmos] and negative vector caused by malar hypoplasia [underdeveloped midface bone]. If you have had this appearance your whole life, then it is unlikely that there is a medical condition that is the cause. Thyroid disease is usually the medical problem that will cause bulgy eyes. There are a few different ways to address this, depending on how aggressive we... more

A.J. Amadi, MD

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Seattle Oculoplastic Surgeon

seattleface.com

Treatment for bulging eyes

You have a very proptotic or bulging globe as well as some hypoplasia of the cheek bone area. I would agree that you need a medical as well as plastic surgical evaluation to determine your best options.

Eye Vector

It is very important to get some history and lab work regarding your current state. There are several medical conditions that need to be discussed and evaluated regarding your scleral show, etc.

Scleral show and retruded cheek bones

From your posted photos it looks like you are correct and have both scleral show and a negative vector (retruded cheek bones). You would need to see a surgeon face to face in order to understand all of the options available to you to address this if you want it changed. Don't let anyone talk you into a lid tightening procedure because that would only make this worse. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship.... more