What to do about uneven eye sizes

Jun 10, 2024 Source: Cainiu Health
Disease description:

My sister's facial features are generally well-proportioned, but her two eyes are different sizes, which is somewhat noticeable in daily life. She hasn't gone to the hospital about it yet. I'd like to ask, what is the best way to treat uneven eye size?

Doctor's answer (1)
Dr. Wang Shuai
Common causes of uneven eye size include asymmetric double eyelids, unilateral ptosis, hyperthyroidism, and unilateral eyeball atrophy or orbital space-occupying lesions. Treatments vary depending on the underlying cause: 1. Asymmetric double eyelids: If asymmetry results from growth and development, it can be corrected through double eyelid surgery. 2. Unilateral ptosis: For ptosis, initial treatment may involve medications that nourish the nerves or enhance muscle strength. If there is no significant improvement after several months, surgical options such as levator resection or frontalis suspension may be considered. 3. Hyperthyroidism: Treatment focuses on managing the primary condition, using medications such as thiourea derivatives or atenolol. 4. Other pathological causes: For conditions like unilateral eyeball atrophy or orbital space-occupying lesions, treatment—either surgical or medical—should follow specific medical advice based on individual circumstances. In addition to medical interventions, cosmetic techniques such as applying double eyelid tapes or using eyeliner can help visually correct the appearance of uneven eyes.