Eye bags is a condition where the fat behind the eye pooches out and leads to formation of bags. It happens due to ageing, hereditary factors and certain medical conditions like thyroid, hypertension or renal disorders.
Patients with this condition complain of:
Tired, drunk and sad
As if they have not taken enough rest
Are unable to wear spectacles properly
Baggy lids: This happens when there is extra fold of skin over the upper lid crease which makes the eye look smaller and heavy. It is usually associated with droopy brows. Additional loose skin may be present. Patients complain of heaviness on eyes, headache in an attempt to open eyes and/or limitation or restriction of the visual field. It can be caused by the following reasons:
Skin laxity/ looseness - causing extra skin to hang over
Atrophy of fat around the brows - leading to descent of the brows
It can be present in all ethnicities but can specifically be seen in north-eastern Indians and Asians
Blepharoplasty surgery is used to restore correct functioning to the affected eyelid(s) and eye aesthetics. It can be done on both upper and lower eyelids to correct puffiness and eye-bags.
Droopy lids, also known as ptosis, is a condition where the upper lid covers the eye. It can vary in degree and severity (mild, moderate, severe). It happens due to weakness of the lid lifting muscle (which is called 'levator').
Depending on the degree of the droop, you may:
Have a cosmetic blemish
Look tired or sleepy
Experience obstruction in the visual field
Have difficulty in reading
Suffer from headaches
Have decreased vision (mainly in children)
Ptosis repair is undertaken through surgical or non-surgical methods depending on the severity of the droop.
Also known as sunken eyes or tear trough deformity, hollowness under eyes is seen as valley, depression or shadow below lower lids. It can affect young and old individuals. It is caused by the following reasons:
Ageing – thinning of lid skin, absorption of fat, bone depression or atrophy, loosening of support structures (ligaments)
Diseases which lead to extensive fat atrophy
Dramatic weight loss
You may look tired, depressed, or show lack of self-confidence. Sunken eyes can make you look older than your age.
There is a spectrum of spasms/ twitching which can affect the lids and face present as constant, uncontrolled, involuntary movements of lids and or/face. These occur due to injury, neurological diseases, stress, facial nerve compression (blood vessel, tumour), neurotransmitter imbalance.
These can cause physical, psychological and social impact on a patient's life. Common complaints include:
Inability to open eyes
Intolerance to bright light
Dry eyes, irritation, blurring of vision
Deviation of mouth
Difficulty is swallowing and drooling of saliva in severe cases
You may be advised for brain imaging. Treatment options are:
Medications – under supervision of the neurologist