What diseases causes upper eye lid protrusion? BEST way to correct it? (photos)

Question

My eyes protrude, always burn (even water burns them), have excessive discharge out of inner corners, and I always see crusty residue on the base ofn upper eye lids. Have had these issues for yeeears and I'm now 24.

Mehryar (Ray) Taban, MD, FACS · Answer

You have bulgy appearing eyes, which may be causing the symptoms you describe. Bulgy eyes can be inherited, which is the likely reason in your case. The treatment would be orbital decompression to push the eyeballs back, thereby helping your eyelids close better. See an oculoplastic surgeon.

Jessica Lattman, MD · Answer

Some people are born with prominent eyes.  The other symptoms you describe sound like dry eye and exposure.  This is often related to prominent eyes.  I would suggest seeing an oculoplastic surgeon for an evaluation.  There are treatments that can make you more comfortable and also possbly improve the appearance of the eyelids.

Debra M. Kroll, MD · Answer

Erica, Thank you for writing.  I am seeing some fullness beneath the eyebrows on both sides.  This could represent swollen lacrimal glands (glands that make tears).  You should see an Oculoplastic surgeon to examine you in person.  He or she will ask you about any other symptoms in your body and you may need to have some testing done.  This does not constitute medical advice.  Good luck.

Vikram D. Durairaj, MD, FACS · Answer

Prominent eyes can be associated with race and ethnicity. However, I believe you are referring to the prominence on the outer portion of your upper eyelids. This is most commonly caused by prolapse of the palpebral lobe of the lacrimal gland  - the gland that produces tears to help lubricate the eyes. This is relatively common and is just an normal anatomic variant. Other causes of bilateral lacrimal gland swelling include inflammatory disorders (sarcoidosis, Sjogren's syndrome) and even tumors ( this is very rare and exceptionally rare to occur on both sides). We recently published our series of 97 cases of bilateral (both sides) of lacrimal gland disease in the Journal Ophthalmology. Inflammation was the most common cause. I recommend evaluation by and oculoplastic surgeon.

Edwin Ishoo, MD · Answer

Your condition is most likely genetically inherited and not a disease process; however, you should be evaluated for thyroid pathology by your doctor. Graves’ eye disease, like Graves’ hyperthyroidism and Hashimoto’s thyroiditis, is an autoimmune disorder. The characteristic symptoms of Graves’ eye disease feature the inflammation of the eye tissues. The eyes are painful, red and watery - particularly in sunshine or wind. The covering of the eye is inflamed and swollen.The lids and tissues around the eyes are swollen with fluid. The eyeballs bulge out of their sockets. Because of eye muscle swelling, the eyes are unable to move normally and there may be blurred or double vision. Some patients have decreased colour vision as well.

What diseases causes upper eye lid protrusion? BEST way to correct it? (photos)

Answers (5)

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