Scleral show is where the white of the eye is visible under the iris that creates a round eye appearance. This can be caused by over resection of the skin from blepharoplasty surgery (eyelid surgery), trauma, sustained inflammation, thyroid disease or aging. The exposure can cause redness, discomfort, dry eyes and/or tearing. It is considered the most common complication from eyelid surgery, although many times it will resolve on its own within a few weeks of surgery.
There are different ways to restore the lower eyelid to an appropriate position, usually tightening a loose eyelid or in some cases may require a skin graft or canthoplasty surgery which is a procedure that reshapes the eye.
To find the best treatment for a patient suffering with this condition, would be to schedule a consultation with a Board Certified Plastic Surgeon who will be able to recommend available options.