Progressive bilateral enophthalmos associated with cerebrospinal shunting

Antonio Augusto V Cruz, Igor M O Mesquita, Ricardo Santos De Oliveira

Research output: Contribution to journalArticle

Abstract

A 22-year-old woman was examined for a complaint of bilateral progressive enophthalmos that had begun after the cerebrospinal fluid shunting procedure 9 years ago. Photographs and CT scans taken before surgery proved that the position of her eyes was normal before surgery. The enophthalmos was so severe that it induced a poor eyelid-globe apposition with trichiasis and superficial keratopathy. CT of the orbits showed that both orbital roofs were arched and displaced toward the anterior cranial fossa. The placement of porous polyethylene sheets on the orbital roofs through a coronal approach corrected the eye position. A literature review indicated that cerebrospinal shuntings are plagued by a variety of complications including bone changes and craniosynostosis. We believe that enophthalmos associated with cerebrospinal fluid shunting results from a rare acquired bony orbital anomaly.

Original languageEnglish (US)
Pages (from-to)152-154
Number of pages3
JournalOphthalmic Plastic and Reconstructive Surgery
Volume24
Issue number2
DOIs
StatePublished - Mar 2008
Externally publishedYes

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Enophthalmos
Cerebrospinal Fluid
Trichiasis
Anterior Cranial Fossa
Craniosynostoses
Polyethylene
Orbit
Eyelids
Bone and Bones

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Progressive bilateral enophthalmos associated with cerebrospinal shunting. / Cruz, Antonio Augusto V; Mesquita, Igor M O; De Oliveira, Ricardo Santos.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 24, No. 2, 03.2008, p. 152-154.

Research output: Contribution to journalArticle

Cruz, Antonio Augusto V ; Mesquita, Igor M O ; De Oliveira, Ricardo Santos. / Progressive bilateral enophthalmos associated with cerebrospinal shunting. In: Ophthalmic Plastic and Reconstructive Surgery. 2008 ; Vol. 24, No. 2. pp. 152-154.
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