Would eyelid surgery correct asymmetry after orbital fracture repair?

My left eye had large orbital floor fracture during a vehicle accident 1 year ago, and was repaired with incision through the inside of the left lower eyelid. Now, I hate to notice the big difference in the shape of my eyes. Is this due to the incision (or scar) inside the eyelid? Will an eyelid surgery fix or minimize the difference?

Would eyelid surgery correct asymmetry after orbital fracture repair?
Sort: Date | Helpful
6 answers to “Would eyelid surgery correct...”

A: Have an oculoplastic surgeon evaluate

William Portuese, MD

According to the pictures that are present and the question, the left eye now becomes less dominant and has enophthalmus. The left orbit has sunken inward and downward, and the aperture of the eye is smaller compared to the opposite side. This is due to the actual injury itself. It is very difficult to fix... more

A: Eye asymmetry after orbital floor fracture repair.

Eric M. Joseph, MD

 You typically get the orbital floor repaired if there is entrapment of one of your eye muscles, that if left untreated, would prevent you from looking straight up without double-vision. You may also have had the fracture repaired because the eye-ball may have fallen down into the maxillary sinus, just... more

A: Orbital floor fracture

Steven Wallach, MD

First, some asymmetry between the eyes is normal.  When an orbital floor fracture occurs, it may be isolated only to the floor but may involve the zygoma body itself which can also contribute to an increased volume of the bony orbit.  If you had the floor repaired with some permanent product or bone... more

A: It looks like a very good result from your injury

G. Gregory Gallico III, MD

The injury you describe would cause a major asymmetry of the eye shape without the excellent surgery you must have had. When the orbital floor fractures, the eyeball may sink back and down into the socket. Yours look pretty good now, but you could ask your surgeon about adding a little more support to the... more

A: You are enophthalmic on the left side

Kenneth D. Steinsapir, MD

Dear Henchy One of the major goals of orbital fracture repair is to restore the bony confines that surround the eye and the fat that supports it. When this is not done or not adequately done the orbit is left expanded by the fractures. The permits the orbital contents to occupy a larger volume and consequently... more

A: Eyelid surgery after orbital fracture

Pamela B. Rosen, MD

 Orbital floor fractures can lead to a variety of post-traumatic issues.  From your photos it appears that you have lost volume in the left orbit which has resulted in a slightly sunken-in look to the left eye.  Unfortunately, a consequence of orbital floor fractures is that the soft tissues... more

Post your question

Eyelid Surgery before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.