With the development of transportation and industry, orbital fractures have been increasing in recent years. Orbital fractures can be caused by various traffic accidents, tunnel injuries, boxing injuries and falls. Early symptoms after fracture include swelling of the eyelid, subcutaneous hemorrhage and eye pain, which can be relieved by treatment or after a few days. Typical symptoms such as sunken eyes or double vision usually appear after one week. Of course, some fractures are small and these symptoms may not be obvious. Is surgery always necessary after a fracture? In some small fractures, if the eye is not visibly sunken in, the appearance is not affected much. If the fracture is large, it may be noticeable and may be associated with symptoms such as double vision. Depression of the eyeball may be mild in the early stages and may not stabilize until 2-3 months after the trauma, so the decision to operate depends on the size of the fracture. For diplopia, mild cases tend to recover on their own and do not require surgical treatment. In severe cases, the eyeballs will affect the beauty, and the diplopia will affect the work and life, then surgery is needed to correct the problem. However, some patients’ diplopia will gradually improve after trauma, and surgical treatment is not necessary. Of course, the need for surgery should be decided by an experienced orbital surgeon. After all, there is a certain risk of surgery. In the early stage, we can use some drugs to reduce edema and neurotrophic drugs, and review regularly. When should I have surgery for orbital fracture? For orbital fracture in children, especially orbital floor fracture, in principle, the sooner the surgery is performed, the better the result, usually within 5-7 days after the trauma. Late surgery may lead to lifelong regrets due to degeneration and atrophy of the extraocular muscles, which may affect eye movement in the future. In adults with orbital floor, or simultaneous fracture of the orbital wall and orbital floor, the eyeball invagination is more obvious and there is diplopia, in which case surgical correction is recommended. Surgery is usually performed no more than 2-3 months after the trauma. Surgery can also be performed one year after the injury to correct an ingrown eye, but some patients with diplopia are usually difficult to completely resolve.