Eyelids that cover the pupil are most commonly seen in ptosis and lid laxity, and ptosis needs to be clarified as to which type. Common causes of ptosis are mechanical, traumatic, and neuromuscular paralysis. Generally, a neostigmine test needs to be perfected first to rule out neurogenic. In addition, if it is caused by other reasons, such as tendon recession can choose surgical treatment. And eyelid skin laxity is usually a surgical option. Correction can be achieved by removing part of the eyelid skin. It is recommended to determine which type it is after a detailed ophthalmologic consultation and then choose a treatment plan. Most of the time, good relief can be obtained through surgical treatment.