Facial plast Surg 2000; 16(2): 095-106
DOI: 10.1055/s-2000-12571
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Update on Orbital Floor Fractures: Indications and Timing for Repair

Morris E. Hartstein, Gill Roper-Hall
  • Department of Ophthalmology, Saint Louis University, St. Louis, MO
Further Information

Publication History

Publication Date:
31 December 2000 (online)


There has been much discussion and controversy over the management of blowout fractures of the orbit. At various times, recommendations have included operating on all orbital floor fractures and operating on none of them. As our understanding of blowout fractures and their sequelae has evolved over time, so too has understanding of when and whom would benefit from surgery. In the past, the focus has often been on early versus late repair. The focus should really be on understanding the mechanisms of diplopia and enophthalmos in orbital floor fractures, the best way to evaluate a patient, and, finally, the best method of restoring maximal function and appearance. We present herein a historical perspective on the management of orbital floor fractures and our current recommendations for the indications and timing of surgical repair.