Post orbital decompression eye changes, eyes reverted to normal, advice? (Photos)

Question

When I was in my 20’s, I had an extensive bilateral orbital decompression. Now 25 years later, my eyes reverted to normal which has left my right eye looking entirely different than my left. It is 2 mm lower than my left, the lids are different and shape. I would like to correct my right eye to look like the left.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

C. Blake Perry, MD · Answer

You need to see an orbital specialist/Thyroid Eye Disease Specialist. Depending upon how far forward the left eye is protruding will determine the course of action. There are several options to improve the orbit. You will likely also need eyelid surgery to make the lids more even.

Kenneth R. Francis, MD, FACS · Answer

Dear kirstin,
I think we can safely assume that in 25 years you have been subject to the changes that occur with aging.  Also, for you, those changes may be a little different than for someone who hasn't undergone extensive orbital decompression years ago.  Your eyes appear to have just simply aged, in a relatively normal fashion, fold elevation on one side, skin asymmetry.  An in person consultation with a board certified physician can help determine your options for rejuvenation.  Good luck!

Post orbital decompression eye changes, eyes reverted to normal, advice? (Photos)

Answers (3)