Smaller eye after vitrectomy. What can I do about this?

Question

Please help! What can I do about my eye that looks considerably smaller after a vitrectomy? I probably suffer from mild ptosis but that can't be it. The eyeball seems smaller or deeper in the socket. Also, this eye always used to be my bigger one. Nobody told me this could happen and now doctors say ptosis can be the only thing to happen. When I feel my closed eyelids the operated eye feels less prominent, too. I'm in my 40s and had the vitrectomy to fix a macular hole due to traction.

Sarah Avila, MD · Answer

Sorry you are going through this Ellana. A lot of times during ocular surgery, an eyelid speculum is used to keep the eye open for surgery. This eyelid speculum can stretch a muscle in the eyelid and cause a smaller, droopier eyelid post-operatively. This is not uncommon. You should see an oculoplastic surgeon and confirm this is the case. We can measure the position of the eyeball in the eye socket and make sure there is nothing orbital or eye socket related going on.

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