Recently many patients and colleagues have inquired about the circumstances under which an orbital burst fracture requires surgery. First of all, what is an orbital burst fracture? An orbital burst fracture is a simple orbital trauma condition with a fracture of the orbital wall caused by an orbital contusion, an intact orbital rim, soft tissue insertion, and typical clinical symptoms. Burst fractures commonly occur in the infraorbital and intraorbital walls, either singly or in combination, and less commonly in the extraorbital and superior walls. Burst fractures of the orbit occur in automobile accidents, sports, and fights. Orbital burst fractures are usually categorized as simple medial wall fractures, fractures of the infraorbital wall, or fractures of the infraorbital wall in combination with a medial wall fracture. When orbital burst fracture occurs, if there is depression of the eyeball, diplopia and turning to the side with a tugging sensation, this situation requires timely surgery, and is also the indication for orbital burst fracture surgery, the timing of the operation is about 2 weeks after the injury, when the intraorbital edema subsides, and the connective tissue of the muscle has not yet been fibrosis, so that the surgical timing of the operation has a better effect. At this time, many patients will hesitate, thus missing the best time for surgery.