AIM: To discuss the application of forced traction test in surgeries for orbital blowout fracture.

METHODS: The clinical data of 28 patients with reconstructive surgeries for orbital fracture were retrospectively analyzed. All patients were treated with forced traction test before/in/after operation. The eyeball movement and diplopia were examined and recorded pre-operation, 3 and 6mo after operation, respectively.

RESULTS: Diplopia was improved in all 28 cases with forced traction test. There was significant difference between preoperative and post-operative diplopia at 3 and 6mo(P<0.05).

CONCLUSION: Forced traction test not only have a certain clinical significance in diagnosis of orbital blowout fracture, it is also an effective method in improving diplopia before/in/after operation.