Hemifacial atrophy: an unusual cause of upper eyelid retraction

Progressive hemifacial atrophy or Parry Romberg syndrome may present with variable ocular features, the commonest being enophthalmos. We report a mild case in a 62-year-old man who presented with upper eyelid retraction, nocturnal lagophthalmos, and symptoms of corneal exposure. Recession of the levator muscle corrected the lid retraction and abolished the symptoms of corneal exposure.