Vertical orbital dystopia: definition, classification and treatment

Correction of vertical orbital dystopia is an important component part of providing facial symmetry in a number of conditions of varied etiology having facial imbalance and asymmetry. The most important step is the initial one of making a proper diagnosis, since some conditions represent globe dystopia rather than true orbital dystopia, and can be treated by extracranial procedures. However, if an intracranial procedure is felt indicated, it adds to the safety rather than the complexity of the procedure, and one should not hesitate advocating this to the patient.