This can also prevent the eyelids from fully closing. Other conditions can either shorten the eyelids or decrease their muscle tone. For example, this may result from the side effects of medications for glaucoma - a buildup of fluid in the eye - which may contribute to eyelash growth. Very thick upper or lower eyelashes may also prevent the eyelid from closing completely, though this is rare. Other possible causes of proptosis include congenital conditions of the face or a tumor. This condition can also make it difficult to close the eyes as there is a larger surface eye area for the eyelid to cover. Infections can be less common causes, but these may include:Įxophthalmos - which may result from Graves’ disease - is where the eyes bulge or protrude, known as proptosis. Trauma, injury, or surgery of the eye can also result in damage and paralysis to facial muscles and nerves. Moebius syndrome - a rare neurological condition that affects the muscles controlling facial and eye movement.autoimmune diseases, such as Guillain-Barré syndrome. ![]() Paralysis or weakening of the muscle that closes the eyelids, known as the orbicularis oculi, can cause someone to sleep with their eyes open.Ĭonditions that can cause muscle weakness or paralysis of the facial nerves include: A person may also experience this eye condition due to anatomical or behavioral differences. People usually sleep with their eyes open due to an issue relating to the facial muscles, nerves, or skin around the eyelids. Alternatively, an ophthalmologist or optometrist can perform an eye exam to confirm the diagnosis. If an individual is not experiencing any noticeable symptoms, someone else may be able to tell them if they sleep with their eyes open.
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