Enophthalmos

Post Image

Enophthalmos

What is it?

Enophthalmos refers to the movement of the eyeball towards the back of the orbit, giving the eye a sunken appearance. This condition can affect the appearance and function of the eye.

Why does this happen?

Enophthalmos can occur due to several underlying causes:

  • Fractures of the orbit: Damage to the bony structures surrounding the eye can cause the eyeball to move backwards.
  • Orbital fat atrophy: The loss of fat in the orbital area can lead to the sunken appearance of the eye.
  • Metastasis from breast cancer: Spread of cancer cells to the orbital region can lead to enophthalmos.

Examinations and diagnostic tests

To diagnose and assess enophthalmos, a comprehensive approach is necessary:

  • A full ophthalmological examination is performed.
  • Eyelid and periocular examination to evaluate the surrounding structures.
  • Photographs are taken to assess the condition of the eye both before and after treatment.
  • A Hertel test (also known as exophthalmometry) is conducted to measure the position of both eyes and determine the degree of enophthalmos.
  • An orbital CT scan is often carried out to assess the cause and extent of the condition.

Symptoms

The most noticeable symptom of enophthalmos is the sunken appearance of the eye, which can affect facial aesthetics and, in some cases, vision.

Associated treatments

Treatment for enophthalmos often involves orbital reconstruction, which aims to restore the normal position and appearance of the eye. This may involve surgery to correct orbital fractures, restore fat volume, or address the underlying causes of the condition.

Conclusion

Enophthalmos is a condition where the eyeball moves backward in the orbit, leading to a sunken eye appearance. It can be caused by fractures, orbital fat atrophy, or metastatic disease. Early diagnosis and treatment, including orbital reconstruction, are essential for managing the condition and improving the patient's appearance and function.