A fracture of the medial wall of the orbit is one of the more serious types of orbital trauma, and the specific management of a fracture of the medial wall generally depends on the type and extent of the fracture. Usually, if the fracture of the medial orbital wall is mild and there is not much displacement, no broken bone fragments or corresponding clinical symptoms of the optic nerve, most of the patients choose to be treated conservatively. However, if the fracture of the orbital wall is more severe, as follows: on the one hand, the area of the injury is larger; on the other hand, there is also a displacement of the fracture fragment, which may lead to compression of the nerve canal by the fracture fragment, which can affect the patient’s vision. If the broken bone fragment or fracture displacement compresses the optic nerve, it may also cause abnormal vision, such as visual field defect, diplopia, or even blindness, etc. Also, the later stage of the fracture may cause deformity of the orbital wall due to fracture displacement and squeeze the eyeball causing sunken eye and other problems. Therefore, if a traumatic injury causes an obvious orbital fracture, a prompt visit to the ophthalmologist should be made to confirm the diagnosis and decide on the treatment according to the extent of the fracture and injury.