When the Eye Doesn’t Open – There Is a Solution

Custom-designed scleral lenses displayed next to an anatomical eye model, illustrating a non-surgical solution for ptosis and nerve-related eyelid drooping.

Whether caused by a neurological condition like ALS or a mechanical issue such as ptosis, a drooping eyelid can seriously affect your field of vision, confidence, and quality of life. The good news: custom scleral lenses for ptosis offer a smart, non-invasive solution that can make a real difference—especially when they’re tailored to your unique anatomy.

What Causes the Eyelid to Drop?

Ptosis refers to a condition in which the upper eyelid sags and partially covers the eye. This can result from various causes, including:

  • Age-related eyelid weakening (senile ptosis)
  • Third cranial nerve (oculomotor) palsy
  • Other nerve paralysis
  • Neurological diseases like ALS or myasthenia gravis
  • Trauma, surgeries, or congenital factors

In many cases, patients struggle to fully open their eye, which limits vision and may lead to chronic fatigue or a sensation of having a “lazy eye.” (Important note: this isn’t true amblyopia, as vision is present but underused.)

Scleral Lenses – Not Just for Vision, But Also for Eyelid Support

While scleral lenses are commonly used to treat keratoconus, dry eyes, and corneal irregularities, with the right design they also serve a mechanical therapeutic role: resting on the white part of the eye (sclera), they can slightly lift the eyelid, allowing the eye to open more fully—or even to open at all.

This benefit is particularly important for patients with ALS or cranial nerve paralysis, where functional improvement can significantly enhance daily life.

Customization Is Key to Success

At M’Eye Clinic, we work with two advanced technologies to provide the most accurate and personalized solutions:

  • EyePrintPRO: Uses a detailed 3D impression of the eye to create a fully custom lens. Our optometrist Abigail holds a unique technique in this area, already yielding successful results for eyelid-lifting designs.
  • BostonSight Scleral: Based on the PROSE method, this system offers highly customizable designs even for complex eye anatomy.

These technologies allow us to build a lens that gently lifts the eyelid, improves visual field, and maintains comfort without irritation—often providing relief for concurrent dry eye symptoms as well.

Real-World Results from Our Clinic

One of our patients arrived with severe eyelid drooping due to nerve paralysis. His eye was nearly closed. After fitting a custom EyePrintPRO lens, the transformation was immediate: the eye opened significantly within minutes, and the patient reported major improvement in vision, communication, and daily comfort.

We’ve seen similar results in cases of post-surgical trauma, neurological disease, and age-related ptosis.

Non-Surgical & Cosmetic Benefits

Beyond the medical benefits, many patients appreciate the cosmetic impact of this solution. A drooping eyelid can be a source of embarrassment or lowered confidence. Scleral lenses for ptosis offer a “natural lift”—no surgery, no anesthesia, and no recovery time required.

Who Is This For?

  • Individuals with ALS or cranial nerve paralysis
  • Patients recovering from trauma or facial injury
  • Older adults with gradually drooping eyelids
  • Anyone seeking a non-surgical alternative for eyelid support

And yes—these lenses also help treat dry eye simultaneously, offering an added therapeutic benefit for patients with dual symptoms.

Why Choose M’Eye Clinic?

We don’t sell lenses—we build solutions. Every patient receives:

  • A personalized fitting process
  • Detailed diagnostics with state-of-the-art imaging
  • Close follow-up until we reach the optimal result

Our approach ensures that every lens serves both a medical and lifestyle purpose—from functional vision to aesthetic confidence.

Conclusion

Scleral lenses go far beyond vision correction. For patients with ptosis, ALS, or nerve paralysis, a properly designed lens can restore eye openness, vision, comfort, and even self-confidence—without surgery.

Sometimes, all it takes is one well-designed lens to open your eyes to a better life.

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