Group B [
fracture
CONJUNCTIVA, PERIOSTEUM

The globe was protected using a corneal shield (Fig. A vasoconstrictor was injected beyond the conjunctiva to help with hemostasis.The lower eyelid was everted delicately with a forceps and traction sutures which were passed from palpebral conjunctiva to skin, 4 to 5 mm inferior to the lid margin.If needed, lateral canthotomy was done, if fixation at frontozygomatic suture was required.Then, a hemostat dissected the conjunctiva without extending medially farther than the lacrimal punctum.The incision through the periorbital tissue was performed in a retroseptal manner. A broad retractor was adjusted posteriorly to the infraorbital rim, restricting the orbital fat.A periosteal elevator was used to cut the periosteum over the orbital rim and maxillary anterior surface, the zygoma, and the floor of the orbit.Reduction was performed and fixation of the fracture was secured by miniplates (Fig. The conjunctiva was sutured with 6–0 vicryl.The eye was cleaned with saline solution and a frost suture was applied for a period of 1 week.