The phenomenon of eyes not being the same size may be due to physiological reasons or pathological reasons, such as ptosis, acute dacryocystitis, etc., which should be treated according to the different causes of different treatments, such as medication, surgical treatment and so on. 1. Physiological reasons: the phenomenon of eyes not being the same size due to the asymmetry of the width and shape of the eyelids of the organism itself, generally without special treatment, and those who have aesthetic needs can also be improved by eye-opening, double eyelid surgery, and so on. 2. Pathological causes: congenital developmental abnormalities, neuromuscular diseases and trauma and other factors lead to one side of the upper eyelid ptosis, thus appearing the symptoms of the eyes are not the same size, generally need to be improved through surgical means. Acute inflammation of the lacrimal sac area caused by infections can also cause the eyes to look differently sized, which can be treated with antibiotic eye drops, such as levofloxacin. If there are other reasons for the eyes not being as big as they should be, and if they are accompanied by abnormal vision and other discomforts, it is recommended that you consult a doctor to find out the cause of the problem and actively cooperate with him or her in treating the problem.