Orbital fractures are divided into two categories: simple orbital wall fractures and complex fractures. A simple orbital wall fracture is a ruptured fracture caused by a blunt blow to the orbit with an object larger in diameter than the orbital opening, usually occurring at the orbital floor, the orbital wall, or both the orbital floor and the orbital wall. Complex fractures are subdivided into cranio-orbital fractures, naso-orbital sieve fractures, and orbito-zygomatic collar fractures. Simple orbital fractures, also known as burst fractures. Because of the thinness of the medial orbital wall and orbital floor, the orbit is susceptible to fracture and displacement when subjected to external forces, with herniation or entrapment of the intraorbital soft tissue into the septal and maxillary sinuses. The fracture causes changes in the orbital volume, resulting in sunken eyes and diplopia, while the soft tissues herniated and embedded into the sinus cavity may degenerate and atrophy, and prolonged embeddedness may lead to tissue necrosis and scarring. Therefore, the key to surgical repair of simple orbital fractures is early repair of the fractured orbital wall, restoration of orbital volume, and release and repositioning of the herniated soft tissue. Early treatment of simple orbital fractures is more effective, and the indications for surgery are: 1) persistence of visually impaired diplopia; 2) positive passive pull test and CT scan showing extraocular muscle entrapment or entrapment in the fracture; 3) orbital invagination >3 mm; 4) orbital wall bone defect >2 cm2; while those with negative passive pull test, no obvious extraocular muscle entrapment or entrapment, and no obvious orbital invagination should be conservatively observed Glucocorticoid therapy can be given to those with diplopia.