Broken Orbital Bone and is Sinking, What Should I Do? (photo)

Jimmy

You left orbit is consistent with a prior orbital facture.  To confirm this you should have a through orbital evaluation by an oculoplastic surgery and a CT scan of the orbits.  This will confirm the degree of change in the orbit and based on this the surgeon will be able to discuss with you a range of options.  You should know that later repairs are often much less successful than immediate repairs.  Does this mean you shouldn't bother with a consultation.  No it does not.  There is an other syndrome that needs to be rules out called the silent sinus syndrome.  The fracture may have sealed the left maxillary sinus.  When this occurs the sinus can slowly collapse over time (the eye would appear to be getting smaller).  The fix for this is sinus surgery to reestablish a drainage path for the sinus and reconstruction of the orbital floor.  Your surgeon will also discuss with you the value of under doing this type of reconstruction and the risks involved.  To find a highly qualified oculoplastic surgeon in your area, look on the website for the American Society for Ophthalmic Plastic and Reconstructive Surgery (asoprs dot org).  They maintain a geographic directory for well qualified oculoplastic surgeons.

If you had a trauma that caused a fracture of the bones around the eye, it is possible that the eye is sinking backward.  In most cases this can be improved with surgery. The first step is to see a surgeon who has experience with orbital trauma such as an oculoplastic surgeon.  Your doctor will want to get a CT to see what is happening with the bones around the eye.  Surgery can be more difficult when the problem has been there for a while but it is still possible most of the time.  

Good luck!