Are the gaps between my lower eyelid and eyeball causing my dry eyes? 24 y/o (photos)

Question

There are gaps between my the corner of my lower eyelid and my eyeball on both sides of my face. My eyes are often dry, could these gaps be part of the problem? I am a 24 y/o male and have had these gaps for as long as I can remember.

Zoran Potparic, MD · Answer

It is very likely that your eyelid laxity is one of the reasons for dry eyes. Correction of this deformity can be achieved with procedure called lateral canthopexy which will elevate lateral insertion of the  eyelid and tighten the eyelid. In person consultation with a board certified plastic or oculoplastic surgeon is recommended.

Eric M. Joseph, MD · Answer

I believe in ophthalmologist would be the best specialist to answer your question. Since your lower eyelid appears to be retracted away from the globe, this could in fact be a cause of dry eye. Thank you so much for your question and I wish you well moving forward. Sincerely, Dr Joseph

Camille Cash, MD · Answer

Yes the lower lid not hugging the eye could result in dry eye symptoms.  There are multiple ways to address this that can be anything from eye lubricants to surgery.  Visit with a board certified plastic surgeon near you to learn more.

Mark Taylor, MD · Answer

Yes, you do have a slight ectroption where the eyelid does not touch the eyeball to provide good lubrication.  This can cause chronic dryness and irritation.

Mats Hagstrom, MD (license on probation) · Answer

The gaps you describe are most likely part of the reason your eyes feel dry.
I suggest you get this evaluated by doctors with board certification in oculoplastic surgery.
These are specialist who focus on abnormalities regarding the eyelids.
You can start by talking to an ophthalmologist And ask them to refer you to an oculoplastic surgeon if you would like.
An ophthalmologist would most likely manage the condition while the oculoplastic surgeon may suggest a surgical treatment solution.
This is probably slightly outside of what most general plastic surgeons or even facial plastic surgeons would do.
 It’s not a bad idea to get a couple of consultations before considering permanent irreversible surgery. The reason for More than one consultation is to compare notes and potentially select the provider you think has the greatest degree of skill and experience during each consultation ask each provider to open up their portfolio and show you as many before and after pictures of previous patients who Had the same condition that you do.
Best,
Mats Hagstrom MD

Are the gaps between my lower eyelid and eyeball causing my dry eyes? 24 y/o (photos)

Answers (5)