Enophthalmos: Causes & Reasons

Possible Causes for Enophthalmos

Enophthalmos ranged from 1 mm to 4 mm with mean of 2.4 mm (SD 0.96). [ijps.org]

There has been no case of chewing problems, cheek numbness or progressive enophthalmos developing postoperatively. [ncbi.nlm.nih.gov]

There may also be enophthalmos or proptosis. Management Similar to orbital floor fractures (see above). [patient.info]

Orbital Floor Fracture

Our patient had delayed enophthalmos in a manner similar to silent sinus syndrome or imploding antrum syndrome. [ncbi.nlm.nih.gov]

If significant enophthalmos is present within the first 2 weeks in association with a large orbital floor fracture, even greater enophthalmos can be anticipated in the future [aao.org]

Then he noticed a progressive enophthalmos of right eye and reported to us. [ijo.in]

Horner's Syndrome

But in man, the enophthalmos is only apparent. [doi.org]

Jump to search Human disease characterized by miosis (a constricted pupil), partial ptosis (a weak, droopy eyelid), apparent anhydrosis (decreased sweating), with apparent enophthalmos [wikidata.org]

Citation: Daroff R (2005) Enophthalmos Is Not Present in Horner Syndrome. [doi.org]

Leber Congenital Amaurosis

[…] life, whereas refractive errors (hypermetropia, myopia), as well as photophobia, constant eye poking, pressing, or rubbing (known as Franceschetti signs) and consequent enophthalmos [symptoma.com]

The same process likely is responsible for giving the eyes a deep-set appearance known as enophthalmos. [disorders.eyes.arizona.edu]

Repeated pressure on the eye may also be responsible for the relative enophthalmos often seen in these patients. The ERG is reduced or absent early and permanently. [disorders.eyes.arizona.edu]

Pancoast Syndrome

•Horner’s Syndrome: miosis, ptosis, enophthalmos and anhidrosis. •Lower brachial plexus injury (C8-T1): Klumpke’s palsy. [abcradiology.blogspot.com]

[…] toward the axilla and scapula along the ulnar aspect of the muscles of the hand; 2) atrophy of hand and arm muscles; 3) Horner syndrome (ptosis, miosis, hemianhidrosis, enophthalmos [pallipedia.org]

Horner syndrome - Enophthalmos, anhidrosis, ipsilateral miosis and ptosis comprise this neurological syndrome, which is encountered in up to 50% of patients with superior [symptoma.com]

Maxillary Fracture

Two patients had persistent enophthalmos, and 4 had persistent infraorbital nerve paresthesia. [jamanetwork.com]

Step-off deformity of inferior orbital rim LeFort III Entire face moves as a whole when grasped above upper teeth "Dish" face Enophthalmos, diplopia Medial canthal deformity [fprmed.com]

Orbital floor fracture is suggested by infraorbital nerve anesthesia, enophthalmos, or diplopia. [msdmanuals.com]

Orbital Metastasis

Case presentation A 9-month-old girl was diagnosed with isolated right-sided enophthalmos. [bmcpediatr.biomedcentral.com]

During the presurgery peribulbar injection, a hard palpable mass located under the inferior left eyelid was noted, together with mild enophthalmos. [ncbi.nlm.nih.gov]

Bilateral symmetric enophthalmos is again evident. [pubs.rsna.org]

Orbital Emphysema

[…] resection of periosteum and repair of hole using either bone graft, plate or synthetic material such as Teflon Long-standing entrapment can lead to vision impairment and enophthalmos [learningradiology.com]

No proptosis, enophthalmos, or subconjunctival hemorrhage was present. His pupils were equal, round, and reactive to light, and his vision was 20/20 bilaterally. [consultant360.com]

[…] fracture that is unlikely to cause late enophthalmos. [reviewofophthalmology.com]

Facial Hemiatrophy

She presented with mild enophthalmos associated with eyelid atrophy and loss of cilia. [ncbi.nlm.nih.gov]

She had undergone facial surgery for Parry-Romberg syndrome, after which right enophthalmos and hypo-orbit persisted. [ncbi.nlm.nih.gov]

Ocular involvement is common and the most frequent manifestation is enophthalmos [ 19 ]. [ncbi.nlm.nih.gov]

Entropion

Note overriding orbicularis oculi muscle, eyelid margin entropion, and relative enophthalmos with deep superior sulcus. [emedicine.medscape.com]

[…] of the globe; the effect of relative enophthalmos is best appreciated by having the patient lie in the supine position, which typically elicits the transient entropion as [nmceyecare.ae]

Twenty-six cats were relatively older (mean age 11.3 +/- 2.2 years) with involutional entropion with or without enophthalmos, presumed to result from a reduction in orbital [ncbi.nlm.nih.gov]

Phthisis Bulbi

Complications encountered were implant exposure in one patient, fornix shortening and symblepharon in one patient, and enophthalmos in another. [ncbi.nlm.nih.gov]

Note the heterogeneous small, shrunken, calcified, deformed and irregularly shaped right globe, with enophthalmos (green arrow). Figure 2. [globalradiologycme.com]

[…] identify structures fibrotic scarring with irregular globe contour and diffusely increased attenuation MRI General features ref: small shrunken, deformed, calcified globe with enophthalmos [radiopaedia.org]

Orbital Varix

Pulsating enophthalmos in association with an orbital varix. [imsear.searo.who.int]

We report a case of pulsating enophthalmos secondary to orbital varix associated with orbital bony defects. [ncbi.nlm.nih.gov]

Non-traumatic enophthalmos: A review. Acta Ophthalmol. 2008;86:356-64. Haritoglou C, Hintschich C. Progressive enophthalmos in association with an orbital varix. [ijmedicine.com]

Congenital Exophthalmos

Enophthalmos refers to the posterior displacement of the globe in the orbit. [radiopaedia.org]

Enophthalmos (This is the backward displacement of the globe into the orbit. [mrcophth.com]

An asymmetry of greater than 2 mm between an individual patient’s eyes suggests proptosis or enophthalmos. [aao.org]

Pulsating Exophthalmos

H05.40 Unspecified enophthalmos H05.401 Unspecified enophthalmos, right eye H05.402 Unspecified enophthalmos, left eye H05.403 Unspecified enophthalmos, bilateral H05.409 [healthprovidersdata.com]

right eye H05.402 Unspecified enophthalmos, left eye H05.403 Unspecified enophthalmos, bilateral H05.409 Unspecified enophthalmos, unspecified eye H05.411 Enophthalmos due [app.drchrono.com]

Unspecified enophthalmos, unspecified eye H05.41 Enophthalmos due to atrophy of orbital tissue H05.411 Enophthalmos due to atrophy of orbital tissue, right eye H05.412 Enophthalmos [healthprovidersdata.com]

Orbital Neoplasm

In women with bilateral enophthalmos, metastatic scirrhous breast cancer should be considered in the differential diagnosis. [ncbi.nlm.nih.gov]

Scirrhous breast cancer will cause enophthalmos due to desmoplastic fibrosis. 3 A known primary malignancy and other sites of metastatic disease should raise suspicion for [jaocr.org]

Cline RA, Rootman J: Enophthalmos: a clinical review. Ophthalmology 1984;91:229. Mafee MF, Goodwin J, Dorodi S: Optic nerve sheath meningiomas. Role of MR imaging. [karger.com]

Familial Congenital Palsy of Trochlear Nerve

Facial asymmetry (i.e. hemifacial retrusion, upward slanting of mouth on the side of the head tilt, mild enophthalmos of paretic eye) and superior oblique tendon abnormalities [rarediseases.info.nih.gov]

[…] ipsilateral IlIrd, Vth, Vlth nerve involvement; proptosis; disc edema; orbital pain Orbit Tumor; trauma; inflammation Ipsilateral IIIrd, VIth nerve involvement; proptosis; enophthalmos [guwsmedical.info]

Congenital Upper Palpebral Retraction

Late posttraumatic enophthalmos: a correctable deformity? Plast Reconstr Surg 1982;69:423–432. Hazani R, Yaremchuk MJ. Correction of posttraumatic enophthalmos. [jkma.org]

Congenital Entropion Upper eyelid entropion occurs secondary to the mechanical effects of microphthalmos and enophthalmos [Figure 3]. [kjophthal.com]

[…] entity could possibly fall into the category of congenital orbital fibrosis as described by Leone and Weinstein, although two of their four cases had ptosis and all had enophthalmos [healio.com]

Congenital Entropion

[…] which might possibly lead to entropion : Horizontal lid laxity disinsertion or attenuation of retractors preseptal orbicularis overiding the pretarsal orbicularis muscle enophthalmos [eyefacialplasticsurgery.com]

[…] causes of congenital epiblepharon or entropion include improper development of the lower eyelid retractors with possible dehiscence near the tarsal plate, microphthalmos, and enophthalmos [neweyelids.com]

[…] of the lower eyelid retractors (analogue of mueller's muscle) or of capsulopapebral fascia (analogue of levator ) horizontal eyelid laxity preseptal orbicularis override enophthalmos [eyefacialplasticsurgery.com]

Orbital Disease

The median degree of enophthalmos in the contracted orbit compared with the fellow eye was 2.8 mm (range 1.5-3.5 mm) by Hertel exophthalmometry. [ncbi.nlm.nih.gov]

Enophthalmos Idiopathic orbital inflammatory syndrome IgG4-related disease Orbit Orbital fracture Thyroid eye disease Traumatic optic neuropathy Cite this Apa Standard Harvard [jhu.pure.elsevier.com]

KEYWORDS: Enophthalmos; Idiopathic orbital inflammatory syndrome; IgG4-related disease; Orbit; Orbital fracture; Thyroid eye disease; Traumatic optic neuropathy [ncbi.nlm.nih.gov]

Secondary Entropion

It is also seen secondary to enophthalmos. [en.wikipedia.org]

Secondary entropion may be caused by painful corneal conditions that result in enophthalmos or abnormal skin folds, eg older Cocker Spaniel English Cocker Spaniel, Chow Chow [vetstream.com]

Age-related enophthalmos has also been proposed as an etiologic factor although this association has been debated in the literature (3). [webeye.ophth.uiowa.edu]

Blepharoptosis

This disorder is exhibited in infancy as unilateral blepharoptosis, strabismus, limited ductions, globe displacement (enophthalmos and blepharoptosis), and decreased vision [ncbi.nlm.nih.gov]

Patient needs to be examined for proptosis or enophthalmos, lagophthalmos, and presence of Bell phenomenon. [eyewiki.aao.org]

Differential diagnosis Pseudoptosis, which may result from microphthalmos, enophthalmos, anophthalmos, or contralateral eyelid retraction. [eyewiki.aao.org]

Duane Retraction Syndrome

There is retraction of the eyeball (enophthalmos) with narrowing of the palpebral fissure on adduction. [aimu.us]

His main concern was globe retraction with enophthalmos and psedo-ptosis in attempted right gaze. [webeye.ophth.uiowa.edu]

The goals of surgical treatment is: improved head posture, elimination of vertical deviation, reduced of enophthalmos and normal ocular alignment. [biomedsearch.com]

Maxillary Sinusitis

We report a 24-year-old female who developed spontaneous enophthalmos without demineralization of the orbital floor. [ncbi.nlm.nih.gov]

[…] findings are in contrast to cases of silent sinus syndrome, in which maxillary sinus disease induces thinning and inferior displacement of the orbital floor with secondary enophthalmos [ncbi.nlm.nih.gov]

It remains important to treat patients with the silent sinus syndrome as this condition can evolve into enophthalmos and hypoglobus. [poj.peeters-leuven.be]

Prolapse

Enophthalmos or proptosis is present with globe displacement. [patient.info]

An exophthalmometer can be used to assess relative proptosis or enophthalmos of each eye. [eyewiki.org]

A history of trauma - a fractured orbit can result in pseudoptosis with enophthalmos. A third nerve palsy may also result in ptosis. [patient.info]

Exophthalmos

On measurement with exophthalmometer, there was enophthalmos of the left eyeball for 3 mm. [Figure - 1]. [ijo.in]

See pathological diplopia ; Graves' disease ; elephantiasis oculi ; enophthalmos ; Apert's syndrome ; Crouzon's syndrome. Fig. [medical-dictionary.thefreedictionary.com]

Phthisical Cornea

Signs Microphthalmos Enophthalmos Lagophthalmos Reduced eyelid fissure Strabismus Conjunctival chemosis and hyperemia Corneoscleral scarring, thickening, vascularization, [eyewiki.aao.org]

Bilateral Retinoblastoma

Moderate eyelid retraction, reduced conjunctival sac and slight enophthalmos. Surgery: Enucleation without implant in 2005. Prosthesis: Fitting two ocular prostheses. [dalpasso.it]

Claude Syndrome

The paper presents the case of a five-year-old girl, transferred to our Emergency Department for sudden right eyelid ptosis and ipsilateral miosis; mild enophthalmos has been [medicoebambino.com]

Silent Sinus Syndrome

Spontaneous Enophthalmos The most common cause of enophthalmos is traumatic expansion of the orbital cavity secondary to a blowout fracture of the orbital floor and/or medial [aao.org]

Orbital volume increases with resultant enophthalmos and variable flattening of the malar eminence 1. [radiopaedia.org]

PMID: 22051178 Silent sinus syndrome presenting as enophthalmos long after orbital trauma. Montezuma SR, Gopal H, Savar A, Turalba A, Cestari DM, Torun N. [pubmed.ncbi.nlm.nih.gov]

Congenital Horner Syndrome

Often additional symptoms, such as enophthalmos, facial anhidrosis, iris heterochromia, conjunctival congestion, transient hypotonia and/or pupillary dilation lag, may be [ebi.ac.uk]

Heterochromia iridium, anhidrosis, and enophthalmos were not present. [jnnp.bmj.com]

– Assertions to the contrary notwithstanding, true enophthalmos does not occur; the ptosis merely gives an illusion created by narrowing of the palpebral fissure, which results [physio-pedia.com]