Congenital Large Eyes and Inferior Scleral Show (photo)

Question

Do I have lower lid retraction? If so, is retraction repair with a graft sufficient to reduce the bug eye appearance or do I need an infraorbital implant, orbital decompression, etc

David K. Isaacs, MD, FACS · Answer

Negative vector morphology, where the globe protrudes beyond the cheekbone, can lead to lower lid retraction due to inadequate midface support. Treatment options include:
- midface lifting with SOOF or deep-plane suspension
- infraorbital rim implant
- lower eyelid spacer grafts (such as hard palate or auricular cartilage)
- fat grafting to augment the infraorbital rim and cheek
- orbital decompression may be considered in severe cases to reduce proptosis

Consult an expert for an evaluation. Contact me for more details! Hope this helps!

Congenital Large Eyes and Inferior Scleral Show (photo)

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Congenital Large Eyes and Inferior Scleral Show (photo)

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