Depending on the damage, most people who suffer an orbital blowout will require surgery. ER physicians will first make sure you are stabilized and tend to any injuries that require immediate treatment. They will also prescribe general antibiotics to prevent infection. You will be instructed not to blow your nose for several weeks, as doing so can cause additional swelling, injury and possibly air to enter the tissue. Ice packs should be gently applied to the orbit for the first 48 hours. You will then be instructed to see your optometrist or ophthalmologist to make sure you do not have any other damage to your eye. Next, you will be referred to a maxillofacial surgeon who specializes in the repair of orbital blowout fractures.