I Have One Eye That Opens More Than the Other? (photo)

Sooo I have a lazy eye (my eyball) wonders around...I guess they call it cross eyed. But I also have my other eye open way more than this one .. Looks like I have a glass Eye ( i have been asked this many times..I find as I get older it is getting worse..When Im tired . The one that is lazy really gets bad..Can this be fixed..I had one doctor put a weight..into the lid of the eye that open to wide, It was surgically inserted..Didnt work, as the weight pushing againsts my eyeball caused blurred vision.

Doctor Answers 8

Asymmetric Eyelids

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for sharing the photo and your question. The right eyelid is drooping which can actually cause you to open the opposite lid even higher. There are 3 commonly performed surgical procedures by oculoplastic surgeons to correct the asymmetry. Your right eyelid can be elevated to the level of your left lid. Good luck.

Levator Ptosis Causing Low, Droopy Eyelid

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

What you describe sounds like levator ptosis.  This is a condition where the muscle that opens your eye has a  weak, stretched attachment to the eyelid and thus struggles to open the eye.  It typically gets worse as the day goes on because the struggling muscle fatigues.  You also frequently see the other eye open too far since your brain tends to signal both eyelid muscles together, meaning that the eye with the normal attachment gets over-opened as your brain desperately tries to get the droopy one to open at all.  A proper exam should be able to confirm your diagnosis.

The correction of levator ptosis involves strengthening the attachment of the muscle to the eyelid.  There are two approaches to the surgery.  One is through the inside of the eyelid and the other involves an incision in the skin on the outside.  The outside method is generally more successful but is slightly more involved and does leave a scar. . . although it is pretty inconspicuous.  

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon
4.8 out of 5 stars 37 reviews

Asymmetry in eyes

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes, this can be fixed. The long term effects are hard to change; however, you would need to see an ophthalmologist that does strabismus surgery. They can help correct the asymmetry in your eyes. Good luck!


Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

I have one eye that opens more than the other?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 It is very difficult to tell from just one animated photograph what is really going on. An in-person examination is required to make a determination about being a candidate for blepharoplasty procedure. It's also important to rule out ptosis, which is a muscle weakness of the upper lid which creates a roller shading  of one eyelid  down across the black part of the pupil. Everyone has some  degree of eyelid asymmetry  which also needs to be recognized.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Eyelid Asymmetry

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It's not unusual for patients to have orbital asymmetry. In your case, your right eye seems much smaller than your left eye. This appears to be related to a phenomena called eyelid ptosis.

This condition occurs when the muscle that elevates the eyelid becomes detached or is weakened. This results in the characteristic drooping that's seen in your pictures. When this situation arises, it's not unusual for the opposite eyelid to elevate. This sympathetic response tends to make the opposite eye look larger.

Although your pictures are helpful, a definitive diagnosis will depend upon a physical examination. For this reason, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Drooping of the #eyelids and asymmetry

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
#drooping of the #eyelids and asymmetry
there is weakness in the right muscle that lifts the lid and the left side is overcompensating
correction of this muscle will help

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

One eye opens more than the other

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The difference you are describing is related to ptosis of the upper eyelids. This can be from weakening or loss of the levator muscle or Muller's muscle. It is correctable if it's bothersome to you.

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

I Have One Eye That Opens More Than the Other?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Over the internet very hard to exactly advise. But either a right levitator repair/BOTIX injections or both vs a left eyelid direct Botox injection to drop it. But again seek ONLY in person evaluations. 

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.