Management of orbital blow-out fractures

The sequelae of the blow-out fracture can be predicted from a knowledge of the pathophysiology of the fracture as well as an accurate history and clinical and radiologic examination of the patient. The main indications for exploration and repair are acute changes in globe position and mechanical restriction of gaze. Surgery should be performed at 7 to 10 days posttrauma. For the surgeon who possesses the skills and expertise, reparative procedures should help the patient and infrequently cause complications.