Mercieca et al reported grades for eyelid positioning on closure. The authors are from Manchester Royal Eye Hospital in England.
Each eye is graded.
Eyelids
|
Grade
|
apposed (normal closure)
|
1
|
conjunctiva exposed
|
2
|
limbus exposed
|
3
|
It is possible to measure the distance between the upper and lower eyelids at maximum separation in millimeters.