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

It appears you have enophthalmos on the left side. This is likely stable, meaning it already sunken that not sinking any more, or maybe worsening if there additional sinus issues. You should consult an oculopalstic surgeon, who with the help of CT scan can better determine possible solutions.

It is unlikely that things will change this far out from the injury. A CT scan of the orbits [maxillofacial] would help elucidate the problem.

Your posted photo shows a smaller left eye than right eye and retrusion or sinking in of the majority of the left middle third of the face. I suspect that there is more going on here than just a fracture of the bone floor under the eyeball as that would not also result in cheek bone retrusion. You need a CT scan in order to assess exactly what is going on before you can undergo any treatment. Unfortunately when these injuries are old the soft tissue around the bones shrinks back and accomodates to the after injury bone architecture. If you wait too long to correct it the soft tissue will not return to its original state after you fix the bone. Therefore although surgery will improve you condition and prevent further deterioration it cannot return you to your before injury look.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

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!