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Enophthlamos refers to a posterior displacement of the eye ball within the eye socket. It is the opposite of exophthalmos – which refers to an anterior displacement of the eye ball within the eye socket.

There are several causes – which are often significant and / or traumatic in origin.


  • Blowout fracture of the orbit
  • Microphthalmos (defect in embryogenesis, also cataract and refractive errors)
  • Cicatrising metastatic breast carcinoma (rare, progressive enophthalmos associated with very poor prognosis)
Orbital blowout fracture
CT scan showing left orbital blowout fracture of the inferior orbital wall. This file is taken from wikimedia commons and is licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license.

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Dr Tom Leach

Dr Tom Leach MBChB DCH EMCert(ACEM) FRACGP currently works as a GP and an Emergency Department CMO in Australia. He is also a Clinical Associate Lecturer at the Australian National University, and is studying for a Masters of Sports Medicine at the University of Queensland. After graduating from his medical degree at the University of Manchester in 2011, Tom completed his Foundation Training at Bolton Royal Hospital, before moving to Australia in 2013. He started almostadoctor whilst a third year medical student in 2009. Read full bio

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