Can my sunken eye be repaired? (photo)

Question

In early August my right eye suffered a nondisplaced orbital fracture. My eyeball was posteriorly displaced by about 2mm. It's very bothersome to me. I'd really like to fix it, but after some reading I'm afraid I might be too late and 2mm might be too slight of a difference. What do you think? And how might enophthalmos following a nondisplaced fracture be corrected? I know you're limited without a formal examination, but I'd greatly appreciate your thoughts based on what I've shared. Thanks

Mehryar (Ray) Taban, MD, FACS · Answer

Although it is easier to address the fracture early on, it is still possible to correct or improve the enophthalmos (sunken eye) later on.  The safest way to do it is to approach through inside the lower eyelid and place implant on the orbital floor. See link below.

Evan Ransom, MD, FACS · Answer

Thank you for the question and the photos. It is not too late to intervene, to keep the eye from sinking. The main goal of an orbital floor repair is to prevent double vision from the eye not lining up appropriately. Other cosmetic concerns can be addressed, but this is not generally the goal of the procedure. Best of luck moving forward!

McKay McKinnon, MD · Answer

It is reasonable for you to have concern, even about a 2 mm. difference between the eyes' appearance.  Late enophthalmos can definitely be corrected, despite  what you may have read.  The ideal correction is with the patient's own bone (usually harvested from a sliver of the outer cranium).  It could be placed via a conjunctival incision.  This outpatient procedure takes about one hour under a general anesthetic.

Vasdev Rai, MD · Answer

Orbital fractures that lead to sunken eyes can be repaired.  See a plastic surgeon who works on facial fractures.

Can my sunken eye be repaired? (photo)

Answers (4)

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