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orbital fractures common injuries represent interesting chapter maxillofacial surgery retrospective study analyses data collected 528 patients surgically treated university hospital magna graecia catanzaro italy 1st january 2007 31st january 2021 inclusion criteria diagnosis orbital bone fracture complete clinical radiological records minimum followup 12 months analyzed gender age etiology fracture type treatment timing repair associated complications frequent cause trauma road accidents 3788 followed domestic accidents 2595 manifestation diplopia 7235 infraorbital nerve hypoesthesia 5341 extrinsic eye movement limitation 5170 enophthalmos 4129 determined indication surgery trauma team preferred subeyelid approach 7936 study shows statistical significance correlation severity herniation lower rectus muscle presence preoperative diplopia pvalue 000416 found statistical significance postpostoperative diplopia pvalue 000385 patients treated two weeks trauma show higher rate diplopia greater limitation longterm postoperative eye movements treated within two weeks diplopia 2308 vs 1556 eye movements limitation 1333 vs 769 early surgical treatment 14 days reduces likelihood functional structural damage lower rectus muscle data support future maxillofacial traumatology studies education prevention measures taken reduce incidence orbital trauma