The irises are too small for the size of my eyes. Scleral show is visibly exaggerated on the sides of my eyes and it looks worse in person. I would like to keep the size and shape of my eyes and just make the iris bigger. Also, can you tell that one iris is slightly larger than the other?
May 6, 2015
Answer: Iris size Occasionally, a condition called anisocoria will cause unequal pupil size (or as you are describing: different sized irises). Physiologic anisocoria is considered a normal variant. Other more sinister causes may contribute to this presentation. If this is physiologic anisocoria then there are different types of eye drops may be used to either constrict or dilate your pupils in an attempt to produce symmetry - though this is rarely necessary and given you have dark brown eyes the asymmetry is relatively hidden.Changing the scleral show is achievable with surgery. Though your picture does not necessarily provide accurate information about your lower eyelids. You appear to be looking up to the camera and therefore you will invariably have an excess of scleral show. Pictures to evaluate the marginal reflex distance (MRD) need to be taken in the "frankfort horizontal" to properly define the relation of the eyelids to the pupil and iris. As mentioned above other relationships of the eyelids to your midface and the laxity of your eyelids are important in determining the correct intervention.
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May 6, 2015
Answer: Iris size Occasionally, a condition called anisocoria will cause unequal pupil size (or as you are describing: different sized irises). Physiologic anisocoria is considered a normal variant. Other more sinister causes may contribute to this presentation. If this is physiologic anisocoria then there are different types of eye drops may be used to either constrict or dilate your pupils in an attempt to produce symmetry - though this is rarely necessary and given you have dark brown eyes the asymmetry is relatively hidden.Changing the scleral show is achievable with surgery. Though your picture does not necessarily provide accurate information about your lower eyelids. You appear to be looking up to the camera and therefore you will invariably have an excess of scleral show. Pictures to evaluate the marginal reflex distance (MRD) need to be taken in the "frankfort horizontal" to properly define the relation of the eyelids to the pupil and iris. As mentioned above other relationships of the eyelids to your midface and the laxity of your eyelids are important in determining the correct intervention.
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Answer: Scleral Show Dear Myloh, I would encourage you to leave well enough alone. You have beautiful eyes and slight scleral show that is natural and not from a lower lid blepharoplasty should be left alone. There is no surgery to make your iris larger and any surgery to correct the scleral show would change the shape of your eyes and not advised. Best regards, Michael V. Elam, M.D.
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Answer: Scleral Show Dear Myloh, I would encourage you to leave well enough alone. You have beautiful eyes and slight scleral show that is natural and not from a lower lid blepharoplasty should be left alone. There is no surgery to make your iris larger and any surgery to correct the scleral show would change the shape of your eyes and not advised. Best regards, Michael V. Elam, M.D.
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