Treatment of Enophthalmos
Enophthalmos refers to the backward displacement of the eyeball within the orbit, which can be clinically detected when there is a recession of two to three millimeters or more. It typically results most often from previous orbital fractures which were not treated properly at first stage or in this case iatrogenic, particularly involving the orbital floor, leading to structural changes in the bony orbit rather than soft tissue alterations such as fat atrophy.
Key points regarding enophthalmos include:
- Clinical Features: Enophthalmos becomes noticeable with a recession of 2-3 mm, and a greater recession (more than 5 mm) can cause disfigurement.
- Mechanism: The primary cause is the displacement of orbital soft tissue due to the loss of structural support from an enlarged bony orbit, frequently resulting from trauma.
- Associated Changes: Patients may also exhibit altered eyelid position, like ptosis (drooping) of the upper lid and modifications in the tarsal fold due to changes in globe positioning or even diplopia.
- Treatment Approach: Nowadays, the main strategy for managing posttraumatic enophthalmos involves 3D Custom-made implants.:
Understanding these aspects of enophthalmos helps guide appropriate diagnosis and treatment plans in individuals affected by orbital trauma.
The implants on the relevant images are provided by CADskills.
