Abstract: Orbital fracture is a common type of ocular trauma, and the main clinical manifestations include endophthalmos, binocular diplopia, limited eye rotation, and sensory deficits in the infraorbital innervation area, and so on, with endophthalmos being one of the most common and cosmetically compromising complications. The mechanism causing endophthalmos is mainly related to the imbalance between the volume of orbital contents and orbital bony volume. The traditional surgical technique for orbital fracture repair is usually performed by the clinician after analyzing the CT scanning image data of the orbit according to his experience, which is very subjective and requires the surgeon to make repeated attempts to achieve the best repair results, but it is generally difficult to achieve accurate repair. The choice of implant is also very important to the outcome of the procedure, and the results of resorbable material restorations are widely recognized. At present, three-dimensional printing technology is widely used in the clinic, using three-dimensional printing preform technology to personalize the implant material for fracture patients, and orbital fracture revision surgery can improve the endophthalmos more obviously.(Int Rev Ophthalmol, 2024, 48:  305-310)

Key words: orbital fracture, endophthalmos, three-dimensional printing