Abstract: 【Abstract】Normal binocular  vision is important to the human modern life. In recent years, traumatic orbital fracture incidence increased year by year because of traffic accidents or boxing injuries. Binocular vision could be altered in orbital wall fractures because of  strabismus, diplopia, eye movement disorders, eyeball displacement and enophthalmos. The effect of a conservative treatment is limited, and most of patients may recover their binocular vision with surgical treatment. Few postoperative diplopia could be treated with muscle surgery. The  mechanisms and treatments of orbital wall fractures in relation to binocular  vision are discussed. (Int Rev Ophthalmol, 2013, 37: 139-143)