Background: The purpose of this case report is to demonstrate a re-surgery in patient with inadequate management of multiple orbital fractures and traumatic optic neuropathy as a way to relieve his visual problem. Case Report: A 25 year old male presented with double vision following surgical repair of orbital rim fracture. Right eye examination revealed restricted eye movement in all directions and visual acuity was 2/60. Improvement was noted in diplopia and visual acuity following surgery in our hospital to release tissue entrapment with silicone block implant. Conclusion: Management of multiple orbital fractures should be done simultaneously with multidisciplinary teams for adequate and appropriate management.