Atraumatic enophthalmos : a report of two unusual cases

There are many causes of enophthalmos other than those directly related to maxillofacial trauma. As plastic surgeons, we should be aware of these, in the event that we are consulted concerning their treatment. We have presented two cases that, while not unique to the literature, are uncommonly seen by plastic surgeons. In both these cases, CT scans were valuable in the preoperative diagnosis, as well as in the surgical treatment planning. We feel that, ideally, orbital volume content measurements would assist in better assessment of each patient. When a patient presents with enophthalmos and denies any history of facial trauma, one needs to be diligent in the investigation of its etiology.