This patient presented with drooping upper lids due to changes in the muscles that open the eyelids (ptosis). Notice the distance from the corneal light reflection to the eyelashes. While the right side is obviously drooping, the left upper eyelid is also low. The patient underwent internal ptosis repair in which surgery is performed on the inside of the eyelid (no skin incision). After surgery, the eyelids are of a normal height and contour, peripheral vision has improved, and the patient has an aesthetically pleasing appearance.
(Jan 8, 2019)