方法：对九龙医院2009-01/2011-03收治的63例67眼眼眶骨折住院患者进行了回顾性分析。

结果：眼眶骨折患者63例致伤原因中，拳击伤28例29眼，车祸伤17例20眼，钝器击伤9例9眼，摔伤5例5眼，坠落伤2例2眼，其他2例2眼。患者合并眼部损伤共57例61眼，其中眼睑皮下淤血、肿胀45例49眼； 眼睑裂伤16例18眼； 结膜下淤血25例26眼； 角膜异物、上皮缺损9例9眼； 前房出血5例5眼； 眶下神经麻痹或感觉迟钝4例4眼； 玻璃体出血4例4眼； 视神经损伤3例3眼； 泪小管断离2例2眼； 眼球破裂2例2眼； 视网膜裂孔1例1眼； 晶状体半脱位1例1眼。

结论：拳击伤和车祸伤是眼眶爆裂性骨折的主要致伤原因，拳击伤多引起单纯性眼眶骨折，车祸伤和钝器击伤易导致复合性眼眶骨折，并多伴有眼部损伤。在眼眶爆裂性骨折合并的眼部损伤中，眼睑损伤发生率最高，角膜、结膜及房角损伤也较常见，比较严重的眼部损伤如视神经损伤、眼球破裂、视网膜裂孔相对少见。

METHODS:Totally 63 hospitalized cases of orbital blow-out fracture from January 2009 to March 2011 were retrospectively analyzed in Kowloon Hospital.

RESULTS: The causes of injury of 63 cases of orbital blow-out fracture, boxing injuries in 28 cases, traffic accident in 17 cases, ocular blunt trauma 9 cases, fall injury 5 cases, crash injury 2 cases, and the others two cases. 57 cases patients with eye injury, in which the eyelid subcutaneous ecchymosis, eyelid swollen in 45 cases; eyelid laceration 16 cases; subconjunctival hemorrhage 25 cases; corneal foreign body and epithelial defect, 9 cases; hyphema 5 cases; infraorbital nerve paralysis or sensory retard 4 cases; vitreous hemorrhage in 4 cases; optic nerve contusion in 3 cases; lacrimal canalicular break 2 cases; eyeball rupture in 2 cases; retinal tears 1 case; lens subluxation 1 case.

CONCLUSION: Boxing injury and car accident injury are the main causes of orbital blow-out fracture, boxing injury often causes simple orbital fractures, car accident injuries and blunt contusion easily lead to complex orbital fractures, and often associated with eye injury. In eye injury of the orbital blowout fracture, the highest incidence of eyelid injury, cornea, conjunctiva and anterior chamber angle injury is more common, more serious eye damage such as optic nerve damage, eye rupture, retinal tears are relatively rare.