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October 1996

Bilateral Enophthalmos Associated With Hydrocephalus and Ventriculoperitoneal Shunting

Author Affiliations

From the Division of Oculoplastic and Orbital Surgery, Lions Eye Institute, Albany, NY, and Department of Ophthalmology, Albany Medical College (Dr Meyer and Mr Lin); the Division of Oculoplastic and Orbital Surgery, Department of Ophthalmology, University of Iowa, Iowa City (Dr Nerad); and the Departments of Ophthalmology, Neurology, and Neurosurgery, Emory University, Atlanta, Ga (Dr Newman).

Arch Ophthalmol. 1996;114(10):1206-1209. doi:10.1001/archopht.1996.01100140406007

Background:  Progressive bilateral enophthalmos in the absence of previous trauma is rare.

Methods:  Three patients with progressive bilateral severe enophthalmos whose only significant medical history was that of congenital hydrocephalus were treated by ventriculoperitoneal shunt placement.

Results:  The patients demonstrated severe bilateral en-ophthalmos with poor eyelid apposition to the globes, resulting in superficial keratopathy. Orbital computed tomographic scans confirmed the severe enophthalmos, with apparent reduced orbital fat volume. Orbital bony anatomy appeared normal.

Conclusions:  Bilateral progressive enophthalmos may be associated with hydrocephalus and ventriculoperitoneal shunting. The causal mechanism remains speculative.