Can my eye still be fixed? I had a blowout fracture two years ago, never had surgery and now I have a sunken eye. (photo)

Hello!  Thank you for your question. You are experiencing the potential sequel aw from an orbital blowout fracture. When the floor of the orbit has been fractured, there is a possibility that the orbital contents herniate due to the increased volume of the cone. When >1cm2 of fracture, recommendations are made for repair of the floor, or complications such as enophthalmos and diplopia may occur.At 2 years out, there is still a possibility for correction by filling the posterior volume and allowing the eye to protrude anteriorly.  Consult with a plastic surgeon who can examine, obtain further imaging and discuss the various options. Hope me that this helps!  Best wishes!

Improvement is likely through surgery. You have Enophthalmos (sunken) eye. Need to obtain CT scan of your orbits to see what's going on. Likely an implant can be used in the eye socket to push the eyeball forward. See an oculoplastic surgeon.

We are taught that within 2 weeks after the trauma is the optimal time to fix orbital fractures.  That being said, it is possible to fix these fractures years later.  It is just more challenging.  Find someone that does a lot of fractures to decrease the risk and increase the chances of success.  This does not constitute medical advice.  Good luck. 

Surgery to correct the sunken eye appearance is possible even two years after the fracture. You will need a CT scan of facial bone to see exactly what type of fracture you had and whether the bump on your cheek is related to a zygomatic bone fracture in addition to the orbital blow out fracture. Depending on the size and location of the orbital fracture an implant can be placed to cover the defect and restore the volume of the the orbit. If the defect or hole is too big full correction may not be possible. Make sure to discuss with your surgeon  the possible complications that can result from this surgery.

Late fracture repair is certainly an option although it is more difficult. It is most important to understand the exact position of the eye and the extent of the fracture. This procedure is commonly performed by oculoplastic and orbital surgeons. CT Scan and complete orbital exam will be performed before moving forward with surgery. There are many qualified oculoplastic and orbit surgeons in OK and Northern Texas. Vikram D. Durairaj, MD FACS. Austin, Tx.

Secondary repair of the sequelae of a ZMC or orbital blowout fracture is possible. You likely have lost orbital volume as the orbital floor may now sit lower. What the bump on the cheek is may suggest that your original fracture was more than just an orbital blowout but may have had a zygomatic component as well. I would initially get a 3D CT scan to look at the bony anatomy which would guide how much and how to build up the orbital floor.

The surgery is much more involved because you have to break the bones and realign things. It is more difficult to see where everything goes. You took a straightforward operation and turned into a complex operation. Look for a board-certified plastic surgeon with a craniofacial fellowship or go to an academic center with a craniofacial program. I would not take you in my practice at this point.