Eyelid Retraction

Eyelid retraction is a condition in which the upper eyelid sits higher, or the lower eyelid lower, than normal, leaving a larger area of the eye exposed.

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It is common in patients with hyperthyroidism or previous eyelid surgery.

If left untreated, it can cause dry eye and eye discomfort.

Surgery offers an effective and aesthetic solution.

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What is Eyelid Retraction?

An abnormal eyelid position that can affect how the eye works.

Eyelid retraction occurs when the upper eyelid is too high or the lower eyelid too low, leaving the eye abnormally exposed. This can cause dry eye symptoms, irritation and sensitivity to light, as well as affecting the appearance of the eyes.

It may be caused by thyroid disorders, previous eyelid surgery, trauma or neurological conditions.

Signs that may indicate this condition.

✅ Excessive exposure of the eye.
✅ Dry, red eye or a gritty sensation.
✅ Constant eye discharge due to irritation.
✅ Difficulty closing the eye completely.
✅ A startled look or unusual expression.
✅ Asymmetry in the position of the eyelids.

If you experience any of these symptoms, it is important to see an ophthalmologist to assess the best treatment.

Factors that can cause this condition

🔹 Graves’ disease: Hyperthyroidism can cause inflammation of the eye muscles and lead to eyelid retraction.
🔹 After-effects of previous surgery: Some eyelid procedures can alter the eyelid’s natural position.
🔹 Facial palsy or neuromuscular disorders: These can affect the movement and tone of the eyelid.
🔹 Trauma or scarring: Eyelid injuries can cause retraction through tension in the tissues.
🔹 Ageing: Tissue laxity over time can contribute to poor eyelid position.

A detailed eye examination is key to the right treatment

At Clínica Ramírez & Gálvez, we make a precise diagnosis through:

🔹 Eyelid height measurement: We assess the position of the eyelid margin in relation to the cornea.
🔹 Eyelid function test: We assess the movement and tension of the eyelid.
🔹 Dry eye test: We determine whether the eye is affected by excessive exposure.
🔹 Thyroid function tests: If an endocrine cause is suspected.
🔹 Assessment of scarring or surgical after-effects: To plan the best surgical approach.

Our Clinic

Unique spaces designed with one philosophy: excellence in caring for your eyes.

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Detailed Diagnosis

A trusted environment where we listen to you, carry out a detailed diagnosis and design a personalised treatment plan together.

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Commitment to Excellence

A team of professionals led by Drs. Ramírez and Gálvez with a dual commitment: medical excellence and close, human care.

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Cutting-Edge Technology

Equipped with the latest technology to ensure diagnoses of maximum precision and to plan every treatment with complete safety.

Answers to your questions

We answer the most common questions about eyelid retraction. Find all the information you need here to make your decision with complete confidence.

No, mild cases can be managed with eye lubrication, but for moderate or severe retraction surgery is the best option.

Yes, it is performed by ophthalmologists specialising in eyelid surgery, with excellent results.

The initial swelling lasts 1 to 2 weeks, and the final result can be seen after 2–3 months.

In some cases associated with thyroid disease or scarring, a touch-up may be needed in the future.

No, it is performed under local anaesthesia with sedation, allowing a comfortable recovery.