Use of hyaluronic acid gel filler to improve contact lens wear in patients with deep sunken superior sulcus

Purpose: deep sunken superior sulcus of the upper eyelid can result from aging, genetic, prostaglandin use, and prior aggressive upper blepharoplasty. if severe, it can cause exposure keratopathy, lagophthalmos, and giant fornix syndrome. we herein report on another milder manifestation of deep superior sulcus and its treatments. methods: case report. results: deep sunken superior sulcus syndrome caused to soft contact lens displacement and wear intolerance and was treated with upper eyelid suclus hyaluronic acid gel injection. conclusions: contact lens wear intolerance is likely more common in patients with deep sunken superior sulcus syndrome and can potentially be treated with superior sulcus hyaluronic acid gel injection.