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Medical Forum / General / Vision / August 2006

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Lt. eyelid not opening in morning

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simplycoll@gmail.com - 30 Jul 2006 16:37 GMT
This has been happening for approximately 4 months.  Now it occurs on a
regular basis every morning.   On first awakening I am unable to open
my Rt. eye.   It is not stuck.. It is simply closed and will not open.
After a minute to five.. it opens and remains fine for the rest of the
day.   Occasionally my vision in that eye is blurry for about 5 minutes
and the eye itself feels dry for a short time.    I have noticed
increased twitches in the upper eyelid of this eye but otherwise it
seems fine.   I am asysmptomatic in my other eye.  It opens fine.   I
look like a one eyed jack first thing in the morning.

My own doctor has made an appointment for me to see an Opthamologist
Neurologist.. but I live in Canada and it may take some time before I
am able to see the specialist.

Has anyone ever heard of this before.. not being able to open the
eyelid on awakening.  Otherwise I am a healthy active 55 year old
female.

Thanks for any information or links.

Clinker
Andre Aubert - 31 Jul 2006 13:54 GMT
Hey,

I have a similar problem. Often when I wake up my eyelids seem to stick
together, mostly on both eyes. I can't use my eye muscles to open them,
it feels like I rip something (probably epithelium layer) off my eye.
But if I use my finger to pull the lower eye lid a little, it opens
easily like a charm (not sticky or anything) and there's no problem
blinking. It's just strange I cant use my eye muscles to open them when
it's so easy with my finger, I guess the eye muscles pull in a wrong way.

The first times I got it, it hurt really bad because I was used to
opening my eyes upon awakening - so I automatically tried and it really
"pulled" my epithelium so it hurt for some minutes (no, they didn't even
open). So I quickly learned to keep my eyes closed when waking up.

I had a lasek surgery December last year, so I believe(d) the stickiness
is because of dryness at night. But after I open them with my finger,
they don't really feel dry, and I rarely have a dry problem during the
day (anymore). I can also move my eyes freely under my eye lids when
they are stuck. Maybe a vacuum problem.

It used to be a bit worse, so I guess it's improving. Never had anything
like it before my lasek.

Try to pull your lower eye lid carefully with your finger to open your
stuck eye in the morning. You can also try to put on some good eye
lubricant right before you go to bed, like lacryvisc (gel) or refresh pm
(oil/petroleum) to see if it's a dry problem. Especially a good dose of
refresh pm helps for me, but I don't use it because it makes my eyes
feel more dry the rest of the following day.
em - 16 Aug 2006 19:44 GMT
> Hey,
>
[quoted text clipped - 26 lines]
> refresh pm helps for me, but I don't use it because it makes my eyes
> feel more dry the rest of the following day.
Mike Tyner - 31 Jul 2006 14:43 GMT
Your doctor will want to know if it opens *completely* or if the right upper
eyelid stays a little droopy during the day.

At different times of day, look carefully in the mirror and see if the right
lid sits at the same place relative to your iris, or is the left lid a
little higher than the right.

Also notice whether your pupils are the same size - is the right pupil
slightly smaller than the left?

-MT, OD

> This has been happening for approximately 4 months.  Now it occurs on a
> regular basis every morning.   On first awakening I am unable to open
[quoted text clipped - 17 lines]
>
> Clinker
simplycoll@gmail.com - 31 Jul 2006 20:14 GMT
Thank you so much for both of your replies.

Two things I forgot to mention in my first post.

1) I have had cataract surgery in both eyes.  My Lt. eye ( the one that
does not open in the morning) was done about 1 1/2 years ago.  I first
noticed this problem with the lid not opening in the morning approx.
4 months a go.

2) This eye sometimes feels irritated.   The lower lid becomes reddened
and I feel like I have grit in my eye.  This comes and goes.  My
optometrist suggested I use eyelid wipes which I now do.. and the
symptoms are better.. but still come and go.   After researching the
web.. I would think this appears to be Blepharitis.

Although I do not have too many other symptoms.. I am now wondering if
perhaps I have dry eye and my eye is just very dry in the morning and
therefore the lid does not open until some tears are produced.   I have
no pain with all of this.  Just an eyelid that does not open in the
morning.   Just as a side note... this also has started occurring if I
have a solid nap ( more than two hours) during the day.

> Your doctor will want to know if it opens *completely* or if the right upper
> eyelid stays a little droopy during the day.
[quoted text clipped - 29 lines]
> >
> > Clinker
simplycoll@gmail.com - 31 Jul 2006 20:23 GMT
During the day.. the lids do appear to sit normally.  There is no
apparant drooping of either eyelid.   My pupils do appear to be the
same size.

> > Your doctor will want to know if it opens *completely* or if the right upper
> > eyelid stays a little droopy during the day.
[quoted text clipped - 7 lines]
> >
> > -MT, OD
Mike Tyner - 31 Jul 2006 20:43 GMT
> During the day.. the lids do appear to sit normally.  There is no
> apparant drooping of either eyelid.   My pupils do appear to be the
> same size.

Then you're probably on the right track thinking it's due to dryness. Equal
pupils and equal lid position throughout the day almost rules out a
neurological cause.

Many dry-morning episodes cause erosions, epithelial defects that feel like
a foreign body.

While you're waiting for an appointment, you might try an over-the-counter
lubricant at bedtime. They're sold in the US as Lacrilube and Refresh PM.
Gels are OK too, but they don't stay around as long as a little dab of
petrolatum ointment in the lower lid at bedtime.

-MT
simplycoll@gmail.com - 01 Aug 2006 17:58 GMT
Thanks Mike.. I will try the lubricant.

> Then you're probably on the right track thinking it's due to dryness. Equal
> pupils and equal lid position throughout the day almost rules out a
[quoted text clipped - 9 lines]
>
> -MT
 
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