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THE PHYSICIANS OF THE AAO EYE CARE FORUMS
Generally age, hereditary, abuse of alcohol/drugs, thyroid disease, steroid use.
Options: live with it or have a blepharoplasty (remove the bags and excess skin).
If its bad enough insurance will sometimes pay if its blocking your peripheral vision.
see an oculoplastic ophthalmologist Eye MD. Find one at www.aao.org
JCH III MD