Eyelid Laxity

What is Eyelid Laxity?

Eyelids protect your eyes from any foreign bodies while keeping them lubricated throughout. Any alteration in the shape, position or function of your eyelids can predispose your eyes to a plethora of ailments or interfere with our vision.

Our eyelid is a complex structure consisting of three theoretical layers:

Anterior Layer

Contains the skin and orbicularis muscle

Middle Layer

Contains the orbital septum and eyelid retractors

Posterior Layer

Contains tarsus and conjunctiva.

Eyelid Malpositions

Any unnatural or incorrect positioning and orientation of eyelids due to various factors that influence any of the three layers of the eyelids. They may possibly be caused due to ageing, trauma, scarring, birth defects or medical disease involving any or all of the three layers.

The most common forms of eyelid malposition are:


Eyelid Retraction



Types of Eyelid Malpositions

Upper eyelid malpositions:

Upper lid ptosis (drooping down of upper eyelid), retraction of the upper eyelid (causing apparently bulging eyes), entropion(in-turning of eyelid and lash line) and ectroprion (out-turning of the eyelid).

Lower eyelid malpositions

Retraction of lower eyelid (lid margin below inferior limbus), entroprion (inward rotation of the eyelid margin) and ectroprion (outward rotation of the eyelid margin).

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