Visible scleral show, where the white part of your eye (sclera) is more prominently displayed, can sometimes be due to lower eyelid retraction or other causes such as trauma, congenital issues, or thyroid eye disease. If your glasses no longer correct for this appearance, there are several approaches to consider. First, it’s important to identify if there’s an underlying medical condition. A visit to an ophthalmologist can help rule out or diagnose issues like thyroid eye disease, which may need specific treatment. If eyelid retraction is the cause, surgical intervention, such as eyelid surgery, can be considered to reposition the eyelid. This is usually done by an oculoplastic surgeon and should be discussed extensively to consider the benefits and risks.
There also may be non-surgical options like filler injections, which can help with minor retraction by supporting the lower eyelid. However, these are temporary solutions and require periodic maintenance. If you’re looking for ways to manage this at home or without medical intervention until you see a specialist, some over-the-counter lubricating eye drops might help reduce irritation or enhance the appearance somewhat, though this won’t change the scleral show itself. Always follow up sooner if you experience pain, visual disturbances, or any other concerning symptoms, as these can indicate a more serious underlying issue requiring immediate attention.
