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To Our Valued Patients,

With the evolving situation of the Coronavirus (COVID-19) pandemic and under the guidelines of the Health Officer of the Alameda and Contra-Costa Counties, our offices are open to provide eye and vision care.

Please keep in mind that in order to maintain social distancing protocols and to limit further transmission of the virus, we will be working with a reduced staff and seeing a fewer number of patients as compared to our “normal” schedule. Priority will be given to the most urgent medical cases. We will be implementing a number of measures (including altered check-in/check-out procedures, limiting the number of patients in the office and waiting room, face covering for all persons, temperature screening, etc) that will change your experience in the office. In addition, we will be ramping up our already strict disinfection policies and we will continue to monitor and abide by all local, state and, federal guidelines. Please bear with us through this new reality as these changes are designed to protect you and our staff.

We hope to see you soon and appreciate your trust in us to continue to meet your eye care needs. Stay safe and stay healthy!

The Turner Eye Institute Team

What Is Lagophthalmos hero

What Is Lagophthalmos?

Lagophthalmos refers to the incomplete closure of the eyelids and can produce symptoms similar to dry eye syndrome, such as dry, itchy, watery eyes. In extreme cases, it can cause corneal ulcers.

There are several types of lagophthalmos, ranging from mild to severe. Common symptoms include:

  • Increased tearing
  • Dryness
  • Irritation
  • The sensation that something is stuck in the eye
  • Blurred vision
  • Eye pain, especially in the morning

A visit with Dr. Chirag R. Patel can determine if lagophthalmos is causing or contributing to your dry eye symptoms.

Types of Lagophthalmos

grayscale photo of woman covering her face by her handBlink Lagophthalmos

When the eyelids don’t fully close during a blink, this is called “blink lagophthalmos.” Blinking keeps the eyes lubricated by spreading the tear film evenly along the eyes’ surface. An incomplete blink can lead to dry spots on the eye and other uncomfortable dry eye symptoms. Colliding eyelashes or tasks that require a high level of focus (such as working on a computer) can contribute to blink lagophthalmos.

Nocturnal Lagophthalmos

Nocturnal lagophthalmos occurs during sleep, so people with this condition may be unaware they have it. One common cause of this type of lagophthalmos is a decrease in fatty tissue behind the eyeball. Less cushioning causes the eye to sink further into the socket, making it more difficult for the lids to completely close. The fatty tissue can deteriorate for several reasons, including the presence of an autoimmune disease.

Paralytic Lagophthalmos

Paralytic lagophthalmos results from a paralyzed cranial nerve, thus preventing the eyelids from complete closure. Paralysis of the seventh cranial nerve can be caused by Bell’s palsy, tumors, or trauma.

Iatrogenic lagophthalmos

This is when the eyes can’t fully close due to medical treatment. Medical procedures that can cause lagophthalmos include Botox injections and sutures near the eye.

How Your Eye Doctor Can Help

There are several ways to treat lagophthalmos, and sometimes surgery may be necessary. It’s best to first visit Dr. Chirag R. Patel to pinpoint the cause of your symptoms and try the least invasive and safest treatments before resorting to surgery. If left untreated, lagophthalmos can result in corneal damage.

If you’re experiencing dry eye symptoms of any kind, an eye exam at Dry Eye Center at Turner Eye Institute can help determine the underlying condition so that a tailor-made treatment plan can provide long-lasting relief. Dry eye relief extends far beyond the options available at your local drugstore. The friendly staff at Dry Eye Center at Turner Eye Institute make it their mission to provide the highest quality care for their patients. Get the relief you seek — book your appointment today.

Dry Eye Center at Turner Eye Institute serves patients from San Leandro, Concord, Castro Valley, Alameda, and throughout California.

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