Why would I have enopthalmos after orbital repair surgery when I didn't have it before the surgery? (Photo)

Hi there. Sorry to hear about your trauma - injuries to the eye socket are terrifying. Enophthalmos can occur after orbital floor fractures - whether they are repaired or not! It is a result of decreased tissue in the eye socket and in fractures is a result of tissue falling through the orbital floor into the cheek bone. It usually presents after two weeks because the swelling from the original injury masks it early on. Surgery often improves the situation by lifting the tissue back into the eye socket. However, if present (and I can see enophtalmos there in your photo) after surgical correction, it will not get better on its own. The good news is that a solution is possible - it can be improved! In these situations, I recommend seeing a Plastic or Maxillofacial surgeon with an interest in complex facial reconstruction. My own preference would be to repeat the CT scans and order a custom made orbital floor titanium plate - this will be made to measure and give you the best chance of getting a nice symmetric result. Good luck!

This is a complicated problem requiring in person examination and review of orbital CT scans. It is likely that the enophthalmos will NOT improve. See an oculoplastic surgeon for evaluation.