Enophthalmos

A posterior displacement of the eyeball within the bony orbit, resulting in a sunken or recessed ocular appearance.

Causes

• Orbital fracture

• Age-related changes: Orbital fat atrophy

• Silent sinus syndrome

• Scarring and fibrosis: Previous orbital surgery, scleroderma

• Malignancy: Orbital tumor

• Congenital orbital asymmetry