The purpose of orbital burst fracture surgery is to eliminate diplopia, correct intraocular invagination, restore the integrity of the orbital wall, and restore the function of the orbital contents and surrounding soft tissues. The determination of surgical indications is mainly based on clinical manifestations and CT examination. Patients with significant ocular motility disorders, double vision or diplopia, significant sunkenness in the affected eye compared to the healthy side, above 2 mm and positive retraction test, CT showing a large fracture defect, greater than 2 cm2 orbital wall defect, accompanied by significant displacement, distortion or close proximity to the bone at the fracture of nearby muscles (such as the internal rectus muscle or inferior rectus muscle) should be surgically repaired early. According to our clinical experience, patients with obvious ocular clinical symptoms and signs, combined with CT findings, diagnosed with orbital burst fracture, treated conservatively with medication for 1-2 weeks without obvious efficacy, still with obvious diplopia or double vision and eye sunken, are recommended for surgical treatment. Those with insightful eye sunkenness (mostly <2 mm), insignificant ocular motility disorders, no diplopia or diplopia only in extreme abduction may not require surgical repair. Because these symptoms do not affect life, and the surgery itself has some risks, despite the experienced physicians, the surgery can cause tissue adhesions and damage to blood vessels or nerves may. Conservative treatment mainly applies corticosteroids to reduce tissue swelling, systemic antibiotics to prevent infection, hypertonic dehydrating agents to reduce intraorbital pressure, neurotrophic agents and vitamins to promote tissue repair and functional recovery, and later application of drugs to activate blood circulation and remove blood stasis.