Orbital Fractures

Orbital fractures are commonly encountered by the ophthalmologist, otolaryngologist, and orbitofacial plastic surgeon. Proper treatment requires a complete ophthalmic evaluation, systematic review of the radiographic evidence, and thoughtful surgicalplanning with careful attention to anatomic principles. The use of smaller and hidden incisions (particularly conjunctival incisions) has made surgical treatment of orbital fractures more esthetically satisfying while reducing the risk of complications. The choice of implant materials has never been greater, providing the surgeon with options that can be tailored to the needs of the patients. While surgical repair of orbital fractures has advanced considerably over the past 50 years, there is no doubt that we will continue to see innovations and further improvements in surgical techniques, to the continued benefit of our patients.