AIM: To explore the effect of orbital fracture reconstruction on the vision and eye movement function and analyze the optimizing measure for the surgery.

METHODS: Thirty seven patients with monocular orbital fracture and treated by fracture retroconstruction and tamponade were analyzed restropectively. The exophthalmos degree, vision and eye movement function of all patients before and after treatments were detected.

RESULTS: All patients were performed the surgery successfully, and the wound was in primary healing, without infection, rejection or the other untoward effects. At 6mo after surgeries, the clinical cure rate of exophthalmos was 59.5%, and the other 40.5% was under correction. The diplopia degree before and after treatments had statistical difference(Z=45.167, P<0.05); the clinical cure rates at 1, 3 and 6mo after treatments were 46%, 65% and 78% respectively and the improved rates were 84%, 89% and 95%. The eye movement disorder degree before and after treatments had statistical difference(Z=48.847, P<0.05); the clinical cure rates at 1, 3 and 6mo after treatments were 51%, 68% and 84% and the improve rates were 86%, 89% and 97% respectively.

CONCLUSION: Orbital fracture reconstruction can improve diplopia and eye movement disorder effectively. Assessing disease accurately, mastering surgical time, surgical approach and choosing suitable filling material are all basic guarantees for successful operations.