Eye asymmetry. Could it be Silent Sinus Syndrome? (Photo)

Question

For the past two years I have noticed my right eye and bone under my eye sitting deeper in my face making it look sunken in. What type of doctor should I go see?

Mehryar (Ray) Taban, MD, FACS · Answer

Really need to see an oculoplastic specialist and/or ENT specialist to make the diagnosis of silent sinus syndrome. There could be other causes of eye asymmetry too.

Ivan Vrcek, MD, FACS · Answer

thank you for your question and photo. My advice would be to start with an ASOPRS oculoplastic surgeon whO can assess whether the asymmetry you are noticing is due to silent sinus syndrome by obtaining some Imaging. If in fact it is silent sinus syndrome, you will most likely work in concert with both an oculoplastic surgeon and an ENT surgeon. Best of luck!

Sean Freeman, MD · Answer

Sarah2757, I would see an ENT physician or an oculoplastic surgeon. Most likely however the asymmetry you are seeing is within normal limits. Good luck!

David Cheung, MBChB, Bsc(Hons), FRCOphth · Answer

Hi greetings from the UK. Difficult to say if you've got enophthalmos just looking at these pictures which is what you're wondering about. Enophthalmos and globe dystopia can be caused by silent sinus syndrome (in addition to a multitude of other conditions). If you're concerned then ideally you should see an oculoplastic surgeon who'll be able to measure your globe position with an exophthalmometer (and perform an orbital examination ) and then manage accordingly. This may include orbital and sinus imaging. Best WishesDavid

Sara A. Kaltreider, MD (retired) · Answer

Consultation with an Oculoplastics specialist will provide you with an accurate diagnosis and answers to your questions. Orbital, eyelid, and facial examination give clues to diagnose the cause of your asymmetry. You may have normal asymmetry (subtle "hemifacial microsomia" which does not require treatment), thyroid issues, sinus problems, etc. There are may potential causes of asymmetry and not all have to be treated. You may also need evaluation by an ENT specialist, but I would start with the Oculoplastics specialist for detailed orbital examination. ASOPRS.org website has a listing of specialists in your area. Best wishes.

Eye asymmetry. Could it be Silent Sinus Syndrome? (Photo)

Answers (5)

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