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.

Purpose: to evaluate the outcome of anterior blepharotomy in correcting eyelid retraction in patients with Thyroid Eye Disease (TED). Methods: Literature search was conducted from MEDLINE database through PubMed, Google scholar and ClinicalKey. Outcomes included margin-reflex distance, palpebral fissure height, and upper eyelid margin-superior limbus distance. Results: Sixteen articles were reviewed with a mean follow-up time in the studies varied, ranging from 6 to 61 months. The preoperative and postoperative mean MRDs varied. Although there were different success criteria, success rate for full thickness blepharotomy ranged from 59-93%, comparable with levator recession. The complication rates in 14 studies were less than 20%. Conclusion: Full thickness anterior blepharotomy and Müller muscle and levator recession, are safe and effective in correcting upper eyelid retraction in patients with TED. The anterior blepharotomy is a relatively quick and simple procedure.