Your doctor will observe what happens to your eyelids after a minute or two has passed. For example, you may be asked to lie down and gently close both eyes, as if you were about to take a nap. If your doctor suspects you’re sleeping with your eyes open, they may ask you to perform a few tasks in order to observe your eyes while they’re closed. Has anyone ever told you that your eyes are partially or fully open when you sleep?.Do you use a ceiling fan or other heating or cooling system with air vents at night?.Are your symptoms worse when you wake up? Do they improve throughout the day?.Make sure you tell your doctor about any recent injuries, infections, allergies, or surgeries involving the head, face, or eyes.Īt your appointment, your doctor will likely ask you a few questions, such as: Your doctor will ask you questions about your medical history. Less commonly, very thick upper and lower eyelashes might prevent someone from being able to fully close their eyes at night. Bulging or protruding eyes (exophthalmos) caused by Graves’ ophthalmopathy, a condition commonly seen in people with an overactive thyroid gland ( hyperthyroidism), can also make it more difficult to close the eyelids.įor some people, sleeping with their eyes open has no apparent cause. Eyelid surgery or scarring from burns or other injuries can damage the eyelid and make it less able to fully close. Nocturnal lagophthalmos can also be caused by physical damage to the eyelids. It can also be caused by an infection, including: Moebius syndrome, a rare condition characterized by cranial nerve palsies.autoimmune conditions, such as Guillain-Barré syndrome.a tumor, or a surgery to remove a tumor near the facial nerve, such as an acoustic neuroma. ![]() Anything that causes weakness or paralysis in the orbicularis oculi muscle (the muscle that closes the eyelids), can lead to sleeping with the eyes open. Nocturnal lagophthalmos is typically related to a problem with the muscles or nerves of the face.
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