Caption: Figure C, D: Axiai T1 (Figure C) and T2 (Figure D) weighted images showing gross reduction in subcutaneous fat in right hemifacial region including reduction in right retroorbitai fat with resultant enophthalmos
Nonurgent repair is indicated even in patients with apparent enophthalmos
causing functional or cosmesis concerns and in patients with diplopia on clinical ground .
Recognition of progressive enophthalmos
and papilledema while being followed up because of the diagnoses of headache and ptosis was important.
However, facial anhydrosis, enophthalmos
, and a bitonal voice were not detected.
Six months after the ESS, right enophthalmos
seemed to be equivalent to that on the affected side (Figure 3(a), arrow) and endoscopy showed that there was no recurrence of the nasal deformity (Figure 3(b)).
None of the patients complained about limitation of horizontal gaze, enophthalmos
or narrowing of lid fissure and none of them experienced diplopia postoperatively.
Although the classic description of SSS includes enophthalmos
, cases with lateralized uncinate processes and increased orbital volumes on CT scans, but without clinical enophthalmos
, have been reported.
Horner's syndrome comprises ipsilateral partial ptosis, pupillary meiosis, apparent enophthalmos
, facial anhidrosis, heterochromia of the irides (if before age two or congenital), and transient decrease in intraocular pressure.
Common signs and symptoms include diplopia, enophthalmos
, infraortbital hypoesthesia, and decreased extraocular movements.
There may be orbital injury, enophthalmos
as well as opacification of the maxillary sinus.
Significant complications can occur as a result of these injuries, including enophthalmos
, diplopia, and restriction of gaze.