Is there an explanation for abnormal eye slants and asymmetrical eyes? (Photos)

Question

Possible ptosis? Can anything be done? Thanks. Both of my eyes are different sizes and shapes. The right is bigger/more 'opened' while the left eye is smaller and slopes downward toward the outer corners. Also my eyelids aren't rounded. Following the slant of my upper lid, it curves up from my inner eye, then remains straight until it reaches the outer corner. My parents and siblings eyes do not look like this at all. I also have excess upper lid exposure, causing me to look quite tired and make my eyes look smaller than normal often.

Mehryar (Ray) Taban, MD, FACS · Answer

Eye asymmetry could be due to asymmetry in eyelids, eyeballs, orbits, or combination. Need evaluation in consultation by an oculoplastic specialist to determine what the cause is and what treatment should be considered.

David Z. Gay, MD · Answer

Many things can cause the eyelid to change shape. In your picture it appears your lacrimal glands are prominent which can cause the eyelid shape to change. Many things can cause the lacrimal glands to enlarge. Most causes are benign, but there are things that are worth getting checked out. Thyroid disease also can cause asymmetry in eyelid appearance. I recommend being evaluated by an oculoplastic surgeon in your area. If they determine there is nothing wrong they could still perform surgery to make the eyelids more symmetric.

Is there an explanation for abnormal eye slants and asymmetrical eyes? (Photos)

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