I had my surgery 4 weeks ago. I'm having problems getting answers from my surgeon and I have made an appointment with another surgeon the beginning of December to get some guidance. One of the issues I'm having is nocturnal lagophthalmos. I can close my eyes shut during the day and can blink but my eyes pop open when I'm sleeping. What is causing this? Will this go away or is there something I can do to make this issue go away faster - i.e., exercises?
After Eyelid Surgery, What Are The Causes of Nocturnal Lagophthalmos?
Doctor Answers 3
Lagophthalmos after upper blepharoplasty
It is a fine line between taking out too much skin and not taking enough. Fortunately excessive tightness or lagophthalmos improves with time. The worst thing is to do a revision too early. I tell patients to wait at least 6 months. In the meantime use ophthamic ointments or lubricants at bedtime to prevent drying. People want instant results, but you also want results that last long term. Be patient and listen to your surgeon.
Inability to close eyes after surgery
Lagophthalmos after eyelid surgery could be related to muscle (orbicularis) weakness and/or tightness in the eyelid (or lack of enough skin). It may improve up to 6 months after surgery. You should consult your surgeon or obtain consult from an oculoplastic surgeon.
Lagopthalmos after upper lid rejuvenation
Lagopthalmos means that the upper lid 'lags' or will not close easily. Though you can close with firm effort, the tighness in the upper lid causes the lid to rise when closed gently when sleeping. The reason is too much skin removal from the upper lid. This may relax over time and taping may help prevent dryness at night. Ask your surgeon when you might begin to massage the lid.
Best of luck,