Spontaneous enophthalmos associated with chronic maxillary sinusitis.
Enophthalmos and ptosis of the globe is usually a consequence of orbital trauma resulting in a blowout fracture of the orbital floor. Surgical exploration reveals a loss of inferior support due to a disruption of the bony orbital floor. We document five patients with a syndrome of spontaneous enophthalmos and ptosis of the globe unassociated with orbital trauma. The apparent dissolution of the orbital floor causes the loss of inferior support. There is a strong association with ipsilateral chronic maxillary sinus disease.
D000328:Adult; D002908:Chronic Disease; D005128:Eye Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008443:Maxillary Sinus; D009915:Orbit / Q000000981:diagnostic imaging; D012852:Sinusitis / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed