How Can I Fix An Overdone Orbital Floor Reconstruction?
Q: Dr. Eppley, I had orbital floor surgery on my right side for a fracture. I do some acting but feel I lose parts because my eyes are no where symmetrical. I think the surgery was rushed leaving my replacement floor on my right higher than my left. Thoughts?
A: While I don’t know what you looked like before the injury and before the surgery, and your face is a bit tilted in this picture, the eye asymmetry is obvious. (see attached) It is clear the right orbital floor reconstruction is higher then the left unaffected side. That can be remedied but a 3D CT scan should be done first to have a precise measurement of the different orbital floor heights. That would then be matched with the differences in the external horizontal pupillary levels. (which presumably is 1:1 with the differences in the level of the orbital floors. Do you know what material was used to reconstruct the orbital floor?
Dr. Barry Eppley