‘Feels like I’m wearing blinkers!’ – upper eyelid hooding

Upper eyelid hooding is commonly but not always a cosmetic problem. There can be significant vision problems caused by this condition. A number of patients present with a sense that their vision is shaded and restricted by hooding of the upper eyelids. They often pinch the fold of skin in their upper eyelids; holding it up, out of the way, to fully appreciate the visual impairment it is causing. Most recently I’ve had a theatre nurse attend with these symptoms leading to a loss of confidence in driving and an inability to thread a needle . A 40minute local anaesthetic upper eyelid blepharoplasty relieved her of her symptoms.