• 360-755-EYES
  • 866-856-1505 (3937)
  • Mount Vernon
  • Sedro-Woolley
  • Stanwood
  • Anacortes
  • Coupeville
    • Mount Vernon

    • 2100 Little Mountain Ln
    • Mt Vernon, WA 98274
    • Phone: 360-416-6735
    • Fax: 360-424-6954
    • Sedro-Woolley

    • 2131 Hospital Drive
    • Sedro-Woolley, WA 98284
    • Phone: 360-416-6735
    • Fax: 360-856-1206
    • Stanwood

    • 26910 92nd Ave NW #C6
    • Stanwood, WA 98292
    • Phone: 360-629-4180
    • Fax: 360-629-3840
    • Anacortes

    • 1110 12th Street
    • Anacortes, WA 98221
    • 360-293-9312
    • Coupeville

    • 109 NE Birch Street
    • Coupeville, WA 98239
    • 360-678-2020
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Eyelids, though external, have an important role in vision. The eyelids provide the mechanism by which the cornea is bathed in tears and protected from trauma and the elements. At any point that the lids do not function as designed, the patient will experience pain, irritation, tearing and/or vision loss. While both disease and trauma can affect the eyelids, the most common cause of eyelid dysfunction is normal change that comes with age. As the skin becomes lax and the muscle tissue loses elasticity, a variety of symptoms can occur. The good news is that lid repair procedures are straightforward, highly effective and often covered by medical insurance.

Below you will find a few of the more common conditions and corrections. If you would like to learn more about your surgical options for eyelid repair, please schedule an appointment with us today.


Ectropion is a condition whereby the eyelid rolls outward (ecto). Symptoms can include watering of the eye, tears running down the face, blurred vision and dry eye. The repair is a shortening of the eyelid margin to regain the tension normally found in youth.


Entropion is a condition whereby the eyelid rolls inward (endo). Symptoms include pain, watering of the eye, mucous, and blurred vision. The repair is typically a reattachment of the underlying muscle that keeps the lid in proper position.


Ptosis is a condition whereby the upper eyelid levator muscle has slipped or torn, causing a drooping or falling effect. Symptoms include loss of superior visual field and difficulty keeping eyes open. The repair is a reattachment of the underlying muscle that keeps the lid in proper position.


Dermatochalasis is a condition whereby the skin of the upper eyelids has become redundant, overlapping the natural lid crease. Symptoms include loss of superior and/or temporal visual field and dermatitis of lid crease. The usual repair procedure is careful removal of the excess tissue, restoring the natural lid crease.

Dr. J. Timothy Heffernan at Cascadia Eye is an oculoplastics surgeon, which means he is a vision care specialist with additional training and expertise in the tissues surrounding the globe of the eye – this includes the orbits, lids, nasolacrimal ducts, and more. He treats benign and cancerous masses of the lid and orbit; blockage of the nasolacrimal duct; blow out fractures; removal of a blind, painful eye; Grave’s disease and others – as well as the more common age-related lid conditions mentioned above. He also performs mid-face and eyelid surgery for those that desire a more youthful, rested appearance.

If you would like to learn more about our surgical options, or would like to schedule a consultation, please contact us today!