Orbital and craniomaxillofacial defects, in general, are best approached preoperatively by a multidisciplinary team with a clear reconstructive plan in place. Orbital defects result from a myriad of underlying diseases and
injuries, and reconstruction after
orbital evisceration, enucleation, or exenteration can pose a challenge to the reconstructive team. Reconstruction of orbital
injuries with
orbital implants and
prostheses can lead to acceptable aesthetic outcomes, and the reconstructive surgeon should be familiar with current
orbital implants and
prostheses. Herein, the authors review terminology and classifications of orbital defects, different types of
orbital implants, advantages and disadvantages of different
orbital implant reconstructive options, types of orbital
prostheses, and pros and cons of different prosthetic options.