In this 1996 case report in Ophthalmic Plastic and Reconstructive Surgery, Douglas K. Ousterhout, M.D., D.D.S., describes a technique for correcting enophthalmos (a sunken-appearing eye) caused by progressive hemifacial atrophy, also known as Parry-Romberg syndrome. The condition can also cause pseudoptosis, a drooping appearance due to loss of fat around the eye.
Dr. Ousterhout notes that the only previously described technique, an orbital floor implant, appeared to be only partially successful. In his approach, the tissue lining the eye socket was released, the eye and surrounding tissue were advanced forward, and the remaining space was filled with thin slices of radiated cartilage. Both the enophthalmos and the pseudoptosis were corrected in a single operation, with the correction maintained three years later. Dr. Deschamps-Braly continues Dr. Ousterhout’s San Francisco practice.
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