Fig. 5. Orbital floor blow-out fracture repair via a transconjunctival approach with lateral cantholysis. A. The periosteum is incised and then blunt dissection used to expose the fracture site, thus releasing all entrapped orbital soft tissues. B. After the 360° perimeter of fracture is exposed and all prolapsed tissue placed back in the orbit, the orbital implant is placed. In this case, a porous polyethylene sheet was used to cover the defect and was secured with two microscrews.