Hartmann N, Haase W
Univ.-Augenklinik Hamburg.
Klin Monbl Augenheilkd. 1987 Aug;191(2):116-9. doi: 10.1055/s-2008-1050478.
In cases of pure blow-out fracture with unequivocal clinical symptoms (limitation of movement of the globe, dislocation and/or enophthalmos) and confirmed X-ray findings, early surgery is the treatment of choice. In cases where the clinical findings are less pronounced, a "wait-and-see" policy, keeping the patient under observation, seems appropriate for the sake of avoiding surgical trauma. Coronal computerized tomography offers advantages in cases where the diagnosis is questionable.
对于具有明确临床症状（眼球运动受限、眼球脱位和/或眼球内陷）且X线检查结果确诊的单纯性爆裂骨折病例，早期手术是首选治疗方法。对于临床症状不那么明显的病例，为避免手术创伤，采取“观察等待”策略，对患者进行观察似乎是合适的。在诊断存疑的病例中，冠状位计算机断层扫描具有优势。
