Do You Have Uneven Eyes? Causes And Treatment

Not every feature on the human face needs to be of the same height or length. One of which is having asymmetrical eyes. A situation where one eye is smaller than the other. Having uneven eyes is normal and 98% of the cases do not require any kind of medical attention. Let us read more about them.

Causes of uneven eyes

Most of us think that having uneven eyes is genetically inherited. But the truth is that different sized eyes can develop over time. The reason may be due to one’s health or the effect of the surrounding environment. Below are some reasons one has asymmetrical eyes:


We inherit many visible qualities of our family. It may be our skin tone, the shape of the hair, and in this case asymmetrical eyes. Genetics can be the reason behind uneven eyes. Someone with uneven eyes can notice other people of their family bearing the same facial feature. There is no need for medical concern here.


 Asymmetrical Eyes

Studies have proved that when one is growing older, they acquire visible new features. In the case of aged people, there are many changes taking place in their bodies, this change also contributes to the un-evening of eyes. This mainly happens because the tissues of the face lose their firmness. The cartilage in between the joints of the nose continues to grow while the bones stay the same. This causes asymmetry.

Activities of daily life

Activities that one does on a daily basis can also contribute to uneven eyes. Excessive sun exposure or blue rays exposure can change the skin. These mainly affect the skin around the eyes, that too a particular side of the face. This causes a change in the size of one eye, keeping the other as it was.  

Bell’s palsy

Bell palsy is a type of facial paralysis that remains for a temporary time. This comes suddenly and causes one side of the face to wilt which affects the smile and one of the eyes. The cause behind this type of paralysis might be passed or currently suffering from trauma, damage in the nerves, or viral infection. The symptoms of bell’s palsy are:

  • Headaches
  • Pain in jaw or ear
  • Drooling
  • Difficulty in making facial movements
  • Change in a tear or saliva discharge


Trauma is caused when someone experiences such an incident that leaves them in a state of shock. Unable to handle many emotions at one time, our brain malfunctions which might lead to facial trauma. Facial trauma, in turn, might cause displacement in the eye. 


Displacement of the eye is also called enophthalmos. Sinus can also lead to enophthalmos. The causes include chronic maxillary sinusitis, maxillary sinus tumour, and silent sinus syndrome. When one suffers from any one of the diseases, they are likely to get changes in an eye suddenly or gradually. The symptoms include:

  • Sore throat
  • Nasal discharge 
  • Fatigue
  • Swelling accompanied by pain
  • Reduced sense of taste as well as smell

Grave’s disease

Autoimmune is a condition in which one’s immunity attacks itself. Grave’s disease is one of them. It causes hyperthyroidism (overactive thyroid). People suffering from grave’s diseases are likely to get proptosis or bulging eyes. This condition leads to asymmetry. Signs of grave’ disease involves:

  • Anxiety
  • Sweating
  • Causeless weight loss
  • Heat sensitivities 
  • Changes in menstruation
  • Fatigue
  • Vibrations in heart
  • Increase in size of the thyroid gland (goitre) 


A stroke occurs when the blood flow to the brain is not enough and it always happens suddenly. It is a serious medical emergency. People who suffer from stroke are likely to get facial asymmetry. In extreme cases, it affects a person’s vision. Symptoms of a stroke include:

  • Difficulty in speaking or exchanging information
  • Severe headache
  • Loss in balance and maintaining movements
  • Numbness or weakness while performing some activities
  • Blurring of vision

Ways it can be treated

Being born with asymmetrical eyes does not require any medical attention. A doctor’s consultation is necessary when eye asymmetry happens due to some recent or past medical condition. Depending on the reason behind the unevenness, treatments are prescribed. Some of which are:

Treating the fundamental disease

Treating the disease that is the reason behind an eye turning asymmetrical, can help the eye to get back to its normal position. One should immediately consult a doctor and start taking the prescribed medicines. With the recovery of the disease, there is a chance of getting even eyes back. 


Botox or Botulinum toxin is an injectable muscle relaxer. It is a protein made up of the bacterium clostridium botulinum and is a nonsurgical way for treating facial asymmetry. This protein is injected into the area surrounding the eyebrow and it helps in lifting the brows, reducing the appearance of the asymmetrical eye. This is not a permanent treatment as its effect only stays for 3 to 6 months. 

Brow lift

This cosmetic procedure is performed by a Surgeon. This involves treating the uneven eye along with giving the entire face a youthful appearance. This procedure is performed under the influence of general anaesthesia on the patient followed by the surgeon who performs the brow lifting technique. Though there are some risks in this treatment:

  • Scarring
  • Infections
  • Temporary or permanent skin numbness
  • Further unevenness (treatment available)
  • Bleeding
  • Loss of hair


Blepharoplasty is a facial surgery that involves restructuring the patient’s face with their skin only. The surgeon removes excess fat or skin from around the eye area and applies it near the uneven eye to make it symmetrical. The risks involving are:

  • Bleeding
  • Infections
  • Scarring
  • There are fewer chances that this procedure will cause conjunctivitis

Orbital surgery

It is a surgery that is performed on the orbit of the eye socket. The procedure for this surgery depends on the patient’s requirement. The different procedures are:

  • Reconstructing the anatomy of the socket
  • Removal of tumour
  • Repairing fractures

Home remedies

If someone is not willing to go under a surgical procedure and their asymmetrical eye is fine without it, they are free to go for home remedies. This includes various makeup techniques which can make their eyes look even.

They can also opt for using eyelid tape which is useful in lifting the skin.

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