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The objective of this study was to review the orbital fractures managed by our department, especially epidemiological aspects, treatment options and postoperative sequelae. Method: A retrospective review of the orbital fractures treated by the Department of Oral and Maxillofacial Surgery at Middlemore Hospital (Auckland, New Zealand) from 2010 to 2015 was undertaken. Patients were evaluated by age, gender, aetiology, time to surgery, type of reconstructive material used and complications. Results: The most common cause of orbital fracture was interpersonal violence (46%), followed by sporting injuries (25%). Males accounted for 80% of the fractures, with 50% of these being aged between 18 and 30 years old. The most significant complications were ongoing pain and restriction in movement requiring further intervention (6%), infection (3%) and retrobulbar haemorrhage (<1%). Conclusions: In the catchment area for our Hospital, which has a population of approximately 1.5 million, interpersonal violence is the leading cause of orbital fractures. Postoperative complications cannot be evaluated definitively until a few months after surgery.

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