
Sleeping with your eyes open is known as nocturnal lagophthalmos, and it can be a symptom of an underlying health condition. It is usually caused by problems with the nerves or muscles in the face, which make it difficult to keep the eyes fully closed. While it is not typically a serious condition, it can cause eye dryness and irritation, and, if left untreated, can lead to more severe eye complications and vision loss. Treatment options include eye drops, eyelid weights, and, in more severe cases, surgery.
| Characteristics | Values |
|---|---|
| Medical term | Nocturnal lagophthalmos |
| Cause | Stroke, nerve damage, muscle damage, thyroid disorder, autoimmune conditions, or physical abnormalities |
| Symptoms | Dry eyes, pain, redness, blurry vision, insomnia, worsened symptoms upon waking |
| Diagnosis | Observing the eyes from a distance, discussing symptoms and medical history |
| Treatment | Eye drops, eyelid weights, humidifiers, moisture goggles, ointments, eyelid surgery |
| Prevention | Room kept dark, limit alcohol or sedatives before bed, keep eyes clean and free of debris |
| Occurrence | 5% of adults and up to 20% of the overall population |
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What You'll Learn
- Potential causes include nerve damage, thyroid issues, and stroke
- It can lead to dry eyes, increasing the risk of infection
- It may cause poor sleep quality due to light entering the eyes
- Treatments include eye drops, eyelid weights, and humidifiers
- In severe cases, surgery may be recommended to keep eyes closed

Potential causes include nerve damage, thyroid issues, and stroke
The medical term for sleeping with your eyes open is nocturnal lagophthalmos. This condition is usually caused by nerve damage or muscle problems in the face, making it difficult to close the eyes fully. Potential causes include nerve damage, thyroid issues, and stroke.
Nerve damage or muscle weakness in the face can lead to nocturnal lagophthalmos. Specifically, conditions affecting the orbicularis oculi muscle, which closes the eyelids, can cause this condition. For example, Moebius syndrome, a rare neurological disorder, can impact the muscles controlling facial and eye movement. Trauma, injury, or surgery to the eye can also result in nerve damage and muscle paralysis.
Thyroid issues, such as hyperthyroidism, can also contribute to sleeping with eyes open. Thyroid eye disease, often associated with Graves' disease, can cause extreme dryness, corneal damage, and difficulty closing the eyelids. The condition can lead to sleep disruption and an increased risk of obstructive sleep apnea.
Additionally, a stroke can be a potential cause of nocturnal lagophthalmos. While this may be a less common cause, it is important to consider any underlying health conditions that could contribute to this condition.
If you suspect you are sleeping with your eyes open, it is recommended to consult an ophthalmologist or optometrist for a proper diagnosis. Treatment options are available, including eye drops, eyelid weights, moisture goggles, and, in severe cases, surgery to insert an eyelid implant.
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It can lead to dry eyes, increasing the risk of infection
Sleeping with your eyes open is known as nocturnal lagophthalmos. It can be caused by various health conditions, such as a stroke, nerve damage, or muscle damage. In some cases, it may be genetic or caused by thick eyelashes. Even a small opening in the eyelids can dry out the eyes.
Dry eyes are one symptom of sleeping with your eyes open. If left untreated, dry eyes can lead to more serious problems. Eye drops can be used to treat dry eyes, but if the condition is left untreated for an extended period, the risk of serious damage to the eyes increases, and this may result in loss of vision.
The eyes need to remain closed at night because our brains need complete darkness to release enough of the sleep hormone melatonin. When the eyelids are open, the eyes can dry out, and without enough lubrication, the eyes become more susceptible to infections and can become scratched.
There are several ways to treat nocturnal lagophthalmos. One option is surgery, although this is usually only recommended for severe cases. In one type of surgery, an eye specialist will insert a gold surgical implant into the eyelid. The implant functions like an eyelid weight to keep the eye closed while someone is sleeping. A less invasive treatment option is to use eyelid weights or tape to keep the eyes closed at night. Eye drops can also be used to lubricate the eyes.
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It may cause poor sleep quality due to light entering the eyes
Nocturnal lagophthalmos, or sleeping with eyes open, can cause poor sleep quality due to several reasons, one of them being light entering the eyes. During sleep, eyelids protect the eyes from irritants and bright light, and keep them dark and moist. When the eyelids are open, light enters the eyes, causing visual stimulation and awakening the sleeper.
The brain requires complete darkness to fall and remain asleep. Exposure to daylight or light in general makes us awake and hinders the release of the sleep hormone melatonin. Even in cases where the eyelids appear closed, they might not be fully sealed, and light can still enter the eyes. This can cause discomfort and pain, reducing sleep quality.
If you suspect that you are sleeping with your eyes open, it is important to consult a doctor. Treatments for nocturnal lagophthalmos include eye lubricants, ointments, eye patches, and surgery. Doctors may also recommend using special tape to keep the eyes shut or a goggle-like device that provides moisture.
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Treatments include eye drops, eyelid weights, and humidifiers
Sleeping with your eyes open is referred to as nocturnal lagophthalmos. This condition can cause the eyes to dry out, making them more susceptible to infection and scratches. While this condition does not usually lead to severe complications, if left untreated for a long period, it can cause serious damage to the eyes and even result in vision loss.
Nocturnal lagophthalmos is often related to problems with the nerves or muscles in the face, making it difficult to keep the eyes fully closed. It can also be caused by physical damage to the eyelids, such as eyelid surgery or scarring from burns. In some cases, it may be a sign of an underlying condition, such as Graves' disease, which causes the eyes to bulge forward.
If you suspect you are sleeping with your eyes open, it is important to consult a doctor to rule out any significant problems and receive appropriate treatment. Treatments for nocturnal lagophthalmos include:
- Eye drops: Doctors may prescribe lubricating eye drops to keep the eyes moist and prevent dryness.
- Eyelid weights: External eyelid weights can be worn on the upper eyelids at night to help keep the eyes closed.
- Humidifiers: Using a humidifier in the bedroom can help moisturize the air and prevent eye dryness.
- Surgical tape: In some cases, surgical tape may be recommended to help keep the eyes closed during sleep.
- Surgical implants: In severe cases of paralysis or when other methods are ineffective, a gold surgical implant may be inserted into the upper eyelid to help keep the eyes closed.
While sleeping with your eyes open may not seem like a serious issue, it is important to address it to prevent potential damage to your eyes and maintain healthy sleep quality.
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In severe cases, surgery may be recommended to keep eyes closed
The medical term for sleeping with eyes open is nocturnal lagophthalmos. It can be caused by various health conditions, such as a stroke, nerve damage, or muscle damage. Even a small opening in the eyelids can dry out the eyes, causing pain, redness, and blurry vision. While sleeping with eyes open is usually not serious and can be managed with simple solutions, it can also be a symptom of another condition. If left untreated for a long time, it can lead to serious eye damage and even loss of vision.
In some cases, surgery may be recommended to keep the eyes closed during sleep. This is generally only considered for severe cases of paralysis or when other treatments have been ineffective. One type of surgery involves inserting a gold surgical implant into the eyelid. This procedure is done by making a small incision above the eyelashes to create a pocket for the implant, which is then sealed with stitches. The implant functions like an eyelid weight, providing a more permanent solution to keep the eye closed.
Another surgical option is to correct any physical causes, repair nerves, or remove a tumour on the nerves. These procedures can help address the underlying issues that may be preventing the eyes from closing during sleep. However, surgery is typically a last resort and is only recommended when other treatments, such as eye drops, eyelid weights, or humidifiers, have not been successful.
It is important to consult a doctor if you suspect you are sleeping with your eyes open. They will be able to perform a thorough examination, discuss symptoms, and recommend the most appropriate treatment options based on the specific case.
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Frequently asked questions
The medical term for sleeping with eyes open is nocturnal lagophthalmos.
If you sleep with your eyes open, you may wake up with dry, tired, or itchy eyes. Other symptoms include pain, redness, blurry vision, and insomnia.
Sleeping with your eyes open is usually not serious and can be managed with simple solutions, like eye drops, eyelid weights, and humidifiers. In severe cases, surgery may be required.











































