I'm very concerned about my eyes. Over the last year or so, I've noticed that my eyes look very asymmetrical. One seems bigger and lower than the other. It never used to be like this. What are the potential causes of this? Not only is it upsetting me from a cosmetic angle, but I'm also concerned as this change coincides with substantial weight loss, palpitations & panic attacks (for the first time in my life!), high blood pressure and other stuff. Maybe I just have newly acquired wonky eyes! :(
Why is One Eye Bigger and 'Higher' Than the Other? (photo)
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Doctor Answers 11
Graves Disease and Eye Asymmetry
Review of your clinical history and pictures suggest that youmight have a condition known as Graves disease. This disease can cause a variety of changes that effect the eye. In some cases the eyeball is actually enlarged by a condition known as exophthalmos. This condition can also effect the eyelid, eye soft tissue, eye muscles, cornea and even the optic nerve.
In addition Graves disease can cause hyperthyroidism which can cause significant systemic problems. Examples include insomnia, hyperactivity, hand tremors, hair loss, excessive sweating, palpitations, muscle weakness, weight loss, panic attacks, cardiac arrhythmias and elevated blood pressure.
Your symptoms and physical findings suggest a diagnosis of Graves disease. It’s important that you undergo a comprehensive medical evaluation to address this problem. It’s important that your hyperthyroidism and eye changes both receive appropriate treatment. This may require an endocrinologist and an ophthalmologist who specializes in this type of problem.
You need full medical evaluation
You should see your primary physician for full medical evaluation. Your eyes are normal . You have minimal asymmetry which is normal and does not need any intervention.
Asymmetry of eyelids
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Asymmetry is the rule
No two eyes are symmetric. With a split mirror, most people will note asymmetries.
Regarding your situation, temporary changes can of course occur either spontaneously with changes in muscle activity, or with certain medications, injections such as Botox and of course surgery.
Your photograph shows your right eye and brow to be a bit more open/higher which looks like a Botox effect. If you haven't had a Botox injection, don't panic. You can consult with a plastic surgeon or opthalmologist who can reassure you and if appropriate, consider a simple treatment to improve the asymmetry.
Why is One Eye Bigger and 'Higher' Than the Other
Thank you for your question. It is normal for asymmetrical, If you are complaining about dropping of the eyelids or lower eyelid bagginess then you might be a good candidate for the Laser Blepharoplasty operation. Although the plastic surgery era is highly developed and there are new treatment models for several other procedures; there is still no efficient alternative of blepharoplasty operation. If you are not comfortable with the look of your eyelids blepharoplasty operation may be a solution for you.
Uneven eyes and other problems
The problems you describe should be examined by your primary care doctor to investigate any issues with your thyroid or general health. The eyes can be affected in some disorders that cause thyroid problems and this can be evaluated with an orbital specialist.
Eyelid surgery for asymmetry
Patients who would benefit from a blepharoplasty include those who experience:
#Asymmetry of the eyelids.
Excess skin or sagging of the upper eyelids (which can obscure vision)
Excess upper lid skin or hooding may be due to brow position
your eyes have minimal and normal differences but see your PMD or ophthalmologist
Eye Asymmetry and Medical Symptoms
Sounds like textbook description of Graves Disease
Totally agree with Dr. McCracken.
First you appear to have upper eyelid retraction. This is a sign of an overactive thyroid gland. This of course fits in with your other hyper metabolic symptoms including palpitations, anxiety, weight loss, and heat intolerance. Your primary care physician will be able to assess these symptoms and evaluate the thyroid with blood tests. The treatment is to control the thyroid. Your eye changes are mild and may less with time. First start getting the thyroid checked out.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.