Due to periorbital edema following trauma, the majority of patients may initially present with proptosis. It may only become apparent that the patient is developing enophthalmos or dystopia when the edema has resolved after approximately two weeks.
The patient needs to be examined and reassessed regularly and often.
Additionally, ophthalmological examination is recommended. If any disturbance of eye mobility or globe position develops, CT reexamination (and in special circumstances an MRI examination) may be indicated and operative treatment may become necessary.