I have had dry and burning sensation in my left eye for several years now. I have complained about this to several optometrists who tell me to use eye drops but they're not helping or solving the problem. This eye is becoming much smaller, noticeably lower and has a deeper tear trough than my right eye. The difference between the 2 eyes wasn't this noticeable 5-10 years ago. I'm wondering if I have enophthalmos or some other issue and should seek treatment from an ocular surgeon?
Answer: Enophthalmos or ptosis Your photographs support either diagnosis but your history of the eye appearing sunken and smaller points toward some form of enophthalmos. An examination by a plastic surgeon knowledgeable about these entities will be able to measure the orbit on physical exam with an instrument to measure the distance of the cornea from the bony rims. Imaging in the form of CT and or MRI will help show if there is a true volume difference or not. Plastic surgeons who do craniofacial surgery will be the most knowledgeable in the medical community I believe.
Helpful
Answer: Enophthalmos or ptosis Your photographs support either diagnosis but your history of the eye appearing sunken and smaller points toward some form of enophthalmos. An examination by a plastic surgeon knowledgeable about these entities will be able to measure the orbit on physical exam with an instrument to measure the distance of the cornea from the bony rims. Imaging in the form of CT and or MRI will help show if there is a true volume difference or not. Plastic surgeons who do craniofacial surgery will be the most knowledgeable in the medical community I believe.
Helpful
April 10, 2017
Answer: Enophthalmos Thank you for your question. I can understand your concern. It is not possible to determine if this is enophtalmos (sinking in) of your left eye or another problem from these photos alone.. An in person consultation with an Oculoplastic surgeon is necessary to examine and measure your eyes and their respective forward projections. If a difference is noted then a C-T scan or MRI might be helpful. The difference that you see may also be a lid droop. The exam will determine the cause and then possible solutions can be offered.
Helpful
April 10, 2017
Answer: Enophthalmos Thank you for your question. I can understand your concern. It is not possible to determine if this is enophtalmos (sinking in) of your left eye or another problem from these photos alone.. An in person consultation with an Oculoplastic surgeon is necessary to examine and measure your eyes and their respective forward projections. If a difference is noted then a C-T scan or MRI might be helpful. The difference that you see may also be a lid droop. The exam will determine the cause and then possible solutions can be offered.
Helpful
