5-year-old Xiaobao (a pseudonym) was playing with a child when he was accidentally hit by the elbow of the child next to him and hit his left eye. At the time of the injury, there were no obvious bruises or scratches on Xiaobao’s face, so his parents didn’t care. Within a few days, Xiao Bao always tilted his head to the left when looking at things, yelling that he couldn’t see things clearly. In children with orbital fractures, 1 week after the injury is the prime time for treatment. The orbit is similar to a semi-closed cavity surrounded by many bones, with some weak points, such as the infraorbital sulcus and the inner wall of the orbit. The fracture of the inferior orbital wall of Xiao Bao’s left eye caused by the impact of an external force caused the inferior rectus muscle and orbital fat to become “stuck” in the fracture suture, resulting in impaired upward and downward motion of the left eye, and the inability to synchronize binocular vision, resulting in vertical double vision. Orbital fractures in children often present as linear fractures or fissures in the orbital floor, and if they are associated with tissue entrapment, surgery should be performed as soon as possible within one week of the injury, otherwise the extraocular muscles may become ischemic and necrotic with long-term compression, leading to long-term sexual dysfunction. For children with a history of eye impact, parents need to carefully observe whether there is protrusion or entropion of the eye, difficulty in turning the eye in all directions, and whether there is double vision. Just because a child’s eye does not look bruised or scratched does not mean that there is not a “mini-earthquake” inside the eye. If there are any abnormalities, you should seek medical attention as soon as possible so that you do not miss out on treatment and leave your child with lifelong regrets. Adults with orbital fractures should consider surgery if there is double vision and eye entropion. “Unlike children, adults with orbital fractures who develop eye entropion or eye movement disorders and diplopia that affect their appearance are recommended to have surgery one to two weeks after the trauma.” Liu Hu said there is an indicator for intraocular invagination, which is two weeks of trauma and more than 2-3 mm of invagination that significantly affects the appearance consider surgery. Eye entropion is generally more obvious after 2 weeks of trauma, and it is difficult to estimate the amount of surgery before this is done. In addition, in some patients, although the eyelid bruising and edema disappears in about 1 week, the intraorbital tissues are not completely swollen, and the paralysis of some extraocular muscles has not yet recovered, so there may still be ocular motility disorders or diplopia. After 2 weeks of trauma, the extraocular muscle paralysis gradually disappears, and the ocular motility disorder and diplopia will also disappear. As the end of the year is a time of high incidence of trauma in car accidents, experts especially remind patients with orbital fractures to pay attention to the timing of surgery, as open fractures require emergency surgery to close the wound and orbital burst fractures can be operated on about 2 weeks after the injury. As the duration of injury increases, tissue adhesions become more severe, making surgery more difficult, and restoring function and eliminating diplopia can be difficult.