Chapter
4:
Enophthalmos
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Chapter
4: |
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Encephalocele
Enophthalmos
Orbital Reconstruction
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Enophthalmos can be defined as the relative
recession (backward or downward displacement) of the globe into the bony
orbit. The three basic structures that determine globe position are the
bony orbits, the ligament system and the orbital fat. Displacement of
the orbital walls with enlargement of the bony orbit may be the major
components in the production of enophthalmos in orbital fractures.
Post-traumatic enophthalmos is frequently seen and is the result of
disruption of the bony orbit and ligament system with displacement of
the orbital soft tissue. This presents clinically as a sunken appearance
to the eye with pseudoptosis and deepening of the supratarsal fold.
Treatment involves reconstruction of the bony orbit with restoration of
bony orbital volume and repositioning of the globe. The use of
craniofacial techniques allows this to be accomplished with minimal
complications.
The Tennessee Craniofacial
Center, part of the Erlanger Health System, is located in Chattanooga,
Tennessee. The Center, led Larry A. Sargent, M.D., specializes in the
evaluation and treatment of patients of all ages with craniofacial deformities.
Location:
975 East Third Street. Chattanooga, Tennessee 37403
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