Lower Eyelid Retraction Surgery

An eyelid retraction is another form of eyelid malpositioning, which can affect either the upper or lower eyelid or both eyelids. Eyelid retraction occurs when the eyelid pulls away from the eye.

Causes Of Eyelid Retraction

Common causes of eyelid retraction include:

  • Trauma
  • Complications from eyelid surgery
  • Graves’ Disease
  • Parkinson’s disease
  • Tumor
  • Facial nerve palsy
  • Ophthalmic disease
  • Herpes zoster
  • Contact lenses
  • Radiation therapy

Symptoms Of Eyelid Retraction

Since a larger portion of the eye is exposed, symptoms of eyelid retraction may include the following:

  • Irritation and dryness of the eyes
  • Pain
  • A wide-eyed appearance

Treatment Of Eyelid Retraction

Conservative treatments for eyelid retraction will usually be the first course of action and may include the use of lubricants such as artificial tears or an ointment. If that does not provide relief of the symptoms or if the patient is very uncomfortable with the appearance of the eyes, surgery will be considered.

Depending on the location and severity of the retraction, the surgeon will determine the best type of procedure for your needs. Grafting techniques may be used to strengthen and reposition the lid, these include:

  • Hard palate grafts
  • Free tarsal grafts
  • Spacer grafts

In other cases, skin tissue and fat are relocated or removed to improve positioning.