Retraction is the medical term that describes an eye that is too open. This can be due to an upper lid that is too high or a lower lid that is too low. Upper lid retraction is most commonly caused by thyroid eye disease, which is also associated with lower eyelid retraction. Lower lid retraction can also be caused by aging and gravity, and it is important to correct this at the time of ptosis surgery if present to avoid excessive eye opening. Too much exposure to the air can lead to problems with dry eyes.
Upper eyelid retraction is repaired via an incision on the back of the upper eyelid. A portion of a muscle called the Mueller muscle is removed and another muscle called the levator aponeurosis is stretched until the lid is at an appropriate height. Lower eyelid retraction can be performed in several different ways depending on the severity. Dr. Hellman will discuss the various options at your consultation.
Before (Top) & After (Bottom)
