The management of orbital fractures is one of the most interesting and difficult areas in facial trauma. The consequences of an orbital fracture are sometimes dramatic. They include varying types of defects from a loss of vision to diplopia, loss of an eye, epiphora, a disturbing loss of facial sensation, or even an unacceptable appearance of the eye and the hard and soft tissues around it. The controversies surrounding orbital fractures, and orbital floor fractures in particular include the following: the timing of primary surgery (early or late), bone grafting versus alloplastic materials, the management and prevention of diplopia, the prevention of enophtalmos, the management of infraorbital nerve numbness or dysesthesia.
Keywords: Orbital floor fracture; diplopia; titanium preformed implants.