Eyelid retraction

Also called lid retraction. A lid pulled too high or too low, showing more of the white of the eye.

What it is

Lid retraction means a lid pulled too far open, so more of the white of the eye shows above or below the iris.

Symptoms

A staring appearance, dryness and grittiness, and difficulty closing the eyes fully, especially at night.

Causes

Most often thyroid eye disease. It can also follow eyelid surgery or injury.

When to get it checked

Have it checked if the eye feels dry and sore, does not close fully, or the appearance is changing.

How it is checked

Every plan starts with an examination by a consultant, not a photograph or a questionnaire.

  • Your consultant examines your lids, measures their height and position, and checks the surface of your eye and how well it closes. Photographs are taken for your record.
  • What your consultant finds is explained in plain English, there and then.
  • You leave with a written plan and, where treatment is right for you, a written fee.
  • You are never asked to decide on the day.

If surgery is not the right answer, your consultant will say so, and explain what happens if you do nothing.

Questions patients ask

Do I need a referral?

No. You can request a consultation directly. A letter from your GP or optometrist is helpful if you have one, and your insurer may ask for it.

Will I need surgery?

Not always. Your consultant will explain whether treatment is needed, what each option involves, and what happens if you do nothing.

What happens at the consultation?

Your consultant examines your lids, measures their height and position, and checks the surface of your eye and how well it closes. Photographs are taken for your record. You leave with a written plan and fee, and time to decide.

How soon can I be seen?

The clinic team will offer the first suitable appointment, and sooner where your consultant judges it urgent.