·AIM:To discuss the operative opportunity and surgical approach on patient with eyeball atrophy and complicated fracture of orbital maxillary zygomatic(OMZ)caused by severe eyeball rupture to solve eye-socked depression,face abnormality or restriction on opening of mouth on wounded side and trismus and so on caused by above reason.·METHODS:One week to 3 weeks after wounded,patient was treated by improved enucleation(removal of the eye)combined with orbital hydroxyapatites ocular implantation.1 week to 2 weeks after operation,fracture was reduced by incision of coronal,incision of lower eyelid bag and incision of mucogingival junction and was internal fixed with titanium screw or plate.Then porous was inserted after reconstruction.·RESULTS:After 3 months to 3 years follow-up,all 17 cases were treated successfully.·CONCLUSION:The early application of improved enucleation(removal of the eye)combined with orbital hydroxyapatites ocular implantation is effective for patients with eyeball atrophy and complicated fracture of OMZ,and no complication is found such as dislocation of the implant,rejection and infection.·