There are


types of eyelid malposition

Health and appearance,


important aspects

What is eyelid malposition?

Eyelid malposition is the abnormal positioning of the eyelids due to various causes.

The disorder is relatively common. As well as looking unsightly, it can lead to visual and ocular problems, which can become serious.

The most common forms are:

  • Eyelid retraction: the upper eyelid is abnormally high or the lower eyelid is abnormally low.
  • Ptosis: drooping of the upper eyelid.
  • Entropion: the eyelid turns inwards causing the eyelashes to brush against the cornea.
  • Ectropion: the lower eyelid turns outwards.

What causes it?

It is usually caused by tissue relaxation due to ageing, but can also occur as a result of paralysis of the facial nerve (Bell’s palsy), trauma, scarring and surgery.

Ageing is the main cause of eyelid malformation.

How can it be prevented?

Eyelid malposition cannot be prevented, but can be treated early, if diagnosed during a routine eye examination.


  • Ptosis can cause a reduction in the visual field.
  • Ectropion causes poor distribution of tears over the cornea, resulting in possible irritation, a burning sensation, a feeling of grit in the eye, tearing and reddening of the eyelid and the conjunctiva.
  • Entropion can produce the sensation of a foreign body in the eye, tearing, irritation of the cornea and even crusting of the eyelid and mucous secretion.

Associated treatments

Eyelid malposition is treated with surgery. The general aim is to reposition or anatomically and functionally reconstruct the eyelid.

Occasionally, the solution involves implanting skin grafts from patients themselves to cover areas of the eye that are left exposed as a result of retraction.

In some cases of lower eyelid malposition, IMO performs pioneering surgery called the transconjunctival midface lift. This technique avoids visible incisions, as it is performed through the conjunctiva, and consists of lifting the cheek in order for the lower eyelid to return to its normal position.

In most cases, existing surgical techniques offer an immediate solution to eyelid malposition and its associated problems.

IMO Institute of Ocular Microsurgery

Josep María Lladó, 3
08035 Barcelona
Phone: (+34) 934 000 700
See map on Google Maps

By car

GPS navigator coordinates:
41º 24’ 38” N – 02º 07’ 29” E

Exit 7 of the Ronda de Dalt (mountain side). The clinic has a car park with more than 200 parking spaces.

By bus

Autobus H2: Rotonda de Bellesguard, parada 1540

Autobus 196: Josep Maria Lladó-Bellesguard, parada 3191

Autobuses H2, 123, 196: Ronda de Dalt – Bellesguard, parada 0071

IMO Madrid

C/ Valle de Pinares Llanos, 3
28035 Madrid
Phone: (+34) 910 783 783
See map in Google Maps

Public transport

Metro Lacoma (líne 7)

  • Lines 49 & 64, stop “Senda del Infante”
  • Line N21, stop “Metro Lacoma”


Patient care:
Monday to Friday, 8 a.m. to 8 p.m.

IMO Andorra

Av. de les Nacions Unides, 17
AD700 Escaldes-Engordany, Andorra
Phone: (+376) 688 55 44
See map in Google Maps

IMO Manresa

C/ Carrasco i Formiguera, 33 (Baixos)
08242 – Manresa
Tel: (+34) 938 749 160
See map in Google Maps

Public transport

FGC. Line R5 & R50 direction Manresa. Station/Stop: Baixador de Manresa


Monday to Friday, 08:30 A.M – 13:30 PM / 15:00 PM – 20:00 PM

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