Why is my left eye getting smaller while my right eye seems to grow? (photo)

Question

My left eye just seems to be getting smaller and my right eye just seems to be getting bigger. You'll notice that my right eye does have some discoloration (brown, orange spots). The size difference is really starting to wear on my confidence! Granted the bags under my eyes have grown considerably since I became a mom. I have bad eyesight and just recently went in for an exam. Do I see my PCP or an optometrist for this growing concern?

Kenneth D. Steinsapir, MD · Answer

The photograph suggests you have right upper eyelid retraction. The most common cause for this is related to an autoimmune that can affect the thyroid gland.  Your PCP or an ophthalmologist can assess you for Grave's disease.

Mehryar (Ray) Taban, MD, FACS · Answer

The problem could be due to eyelid position change and/or eyeball position change. Best to see an oculoplastic specialist for evaluation. Skype consult is available.

Daniel Lensink, MD · Answer

Your eyeballs themselves are not changing in size. Rather the position of the eyeball in the eye socket is changing and/or your lids are drooping or retracting. I suggest you see a medical doctor specializing in eye diseases and surgery-an ophthalmologist-or better yet, an ophthalmologist with subspecialty training in plastic surgery of the eyes-oculoplastic surgery. There are several good oculoplastic surgeons in the Sacramento area.

Paul Nazemi, MD · Answer

Thank you for your question.  Based on the photos provided, I would see a specialist for a comprehensive evaluation.  Eyelid retraction can be caused by a thyroid related condition and should be worked up.  Other causes include overcompensation of ptosis or droopiness of the other eyelid, resulting in lifting of the brows and lids to compensate.  An in person examination should determine the cause.  Best wishes.

Shoib Myint, DO, FAOCO · Answer

Hello bb20161986,
You have retraction of the right upper lid and slight retraction of your right lower lid. I cannot tell from the picture if your eyeball is in correct position. Whats the cause? It could be a few different things but one of the most common cause is thyroid disease. Your appearance is correctable and you can have good aesthetic results. First I suggest getting to an oculoplastic surgeon or an ophthalmologist to discuss this.
Cheers.

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