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It is only an illusion of enophthalmos caused by the ptosis.
But in man, the enophthalmos is only apparent.
This has been found by all workers who have measured the supposed enophthalmos objectively."
Actual measurement with exophthalmometry clearly demonstrates the lack of enophthalmos.
It is also seen secondary to enophthalmos.
Clinical signs include sudden death, opisthotonus, paresis, paralysis and enophthalmos.
Apparent enophthalmos is also a frequent symptom.
It can cause painless facial asymmetry, diplopia and enophthalmos.
Thompson and Miller ([3], p. 964) provide four additional references that the enophthalmos "is apparent rather than real."
The signs of Horner's syndrome are ptosis, miosis, anhydrosis, and (apparent) enophthalmos.
Enophthalmos (recession of the eyeball within the orbit) is the most common eye abnormality observed in Parry-Romberg syndrome.
Alternative techniques such as the Wyman technique focus on tightening the lower eyelid, this technique is not as effective in cases of enophthalmos.
While some attribute the enophthalmos of Horner's Syndrome to paralysis of the orbitalis muscle, this is inaccurate.
Exophthalmometers can also identify enophthalmos (retraction of the eye into the orbit), a sign of blow-out fracture or certain neoplasms.
Enophthalmos in Horner's syndrome is an illusion created by the subtle ptosis of the upper eyelid caused by paralysis of the superior tarsal muscle.
Lefort III - Tenderness and separation at frontozygomatic suture, lengthening of face, depression of occular levels, enophthalmos, hooding of eyes, tilting of occlusal plane with gagging on one side.
It may be a congenital anomaly, or be acquired as a result of trauma (such as in a blowout fracture of the orbit), Horner's syndrome (apparent enophthalmos due to ptosis), silent sinus syndrome, or phthisis bulbi.