A 28-year-old woman with alopecia since childhood presented with 4 years of progressive intermittent diplopia and right eye getting “stuck” with upward gaze. Maddox rod test revealed a subtle intermittent right hypotropia and right enophthalmos (figure 1). Asymptomatic T2 hyperintensities were noted on MRI (figure 2). Scalp morphea was confirmed pathologically. Formal rheumatologic evaluation w...

We report on two cases of enophthalmos, caused by maxillary atrophy, a rarely reported monostotic forme fruste of hemifacial atrophy.

Ocular trauma can be caused by road traffic accidents, falls, assaults, or work-related accidents. Enucleation is often indicated after ocular injury or for the treatment of intraocular tumors, severe ocular infections, and painful blind eyes. Rehabilitation of an enucleated socket without an intraocular implant or with an inappropriately sized implant can result in superior sulcus deepening, e...

Thirty cases of orbital floor blow-out fractures proven by tomography were retrospectively reviewed to determine the accuracy of the plain films. Using the maximum diameter from the tomograms, the area and volume of the fractures were calculated and correlated with the presence of diplopia and enophthalmos at the time of presentation and at subsequent follow-up. Nine of the 30 cases underwent s...

Fig. 1. (A) Patient with posttraumatic enophthalmos and hypoglobus of the right eye. (B) Upward gaze limitation was noted on preoperative day 1. A B or a nerve sheath injury whereas direct damage to the optic nerve during dissection and insertion of implant materials is also possible. We report a case of a patient with postoperative traumatic optic neuropathy due to indirect nerve damage after ...

PURPOSE To describe the clinical characteristics and ophthalmic management of 2 patients who developed gross enophthalmos after ventriculo-peritoneal shunting performed in their teenage years. A key radiologic feature is presented, and a conjectural mechanism is proposed for this disfiguring condition. METHODS Retrospective case note review for 2 patients requiring ophthalmic care for gross e...