What Procedures Do I Need To Correct My Vertical Orbital Dystopia?
Q: Dr. Eppley, I have vertical orbital dystopia. My left eye sits lower than my right. I was hoping you could teach me more about what sort of procedures I would need to correct it.
A: Thank you for your inquiry and sending your picture. Like in all cases of vertical orbital dystopia (VOD) it is important to recognize that as the eyeball is raised what lies around it must be changed as well, particularly the position of the eyelids which will not move up with the eyeball as they have separate attachments. Thus most VOD cases consist of a custom orbital floor-rim cheek implant (made from a 3D CT scan) and upper lid lifting (ptosis repair) and lower eyelid raising. (lateral canthoplasty with spacer graft)
Dr. Barry Eppley