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Published on: 6/26/2025

Is it possible to fall asleep with your eyes open, and what does it indicate?

Yes, it is possible to fall asleep with your eyes open, when your eyelids do not close completely. This condition is called nocturnal lagophthalmos and it can happen for various reasons.

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Explanation

Falling asleep with your eyes open is a condition known as nocturnal lagophthalmos. This means that when a person falls asleep, their eyelids do not fully close. This can happen for various reasons.

Some of Possible Causes of Nocturnal Lagopthalmos

  • Congenital: Sometimes people are born with eyelids that do not close completely.
  • Damage to the Eyelid Muscles or Certain Nerves: If eyelid muscles are damaged by infection, injury, or inflammation, the eyelids may not be able to close completely during sleep. Also, if a condition affecting the brain or certain facial nerves limits the ability of the eyelid muscles to move, this can cause nocturnal lagopthalmos.
  • Some Conditions That Affect the Eye: Health conditions that can cause the eye to bulge forward (including a thyroid disease called Graves' Disease) can lead to nocturnal lagopthalmos.

Some Other Things to Know About Nocturnal Lagopthalmos

  • Possible Consequences of Nocturnal Lagopthalmos: Nocturnal lagophthalmos can lead to symptoms like dry eyes, red eyes, or irritation because the eyes are not protected by the eyelids.
  • Nocturnal Lagopthalmos Is Treatable: Various treatments can help improve or reduce the effects of nocturnal lagopthalmos.

If you or someone you know is experiencing any of these symptoms, a healthcare provider can provide a personalized medical assessment and recommend appropriate treatment. Also, more information about nocturnal lagopthalmos is available at https://www.aao.org/eye-health/tips-prevention/sleeping-with-eyes-open.

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