我们对２０例自发性眶内出血病人进行临床分析，发现青少年发病率高，２０岁以前发病率占７５％，大多因血管异常引起。对眶内出血的诊断较容易，在早期可进行眶内穿刺抽血，以缓解症状。病情平稳后，较积极的治疗是手术，这样既可以明确诊断，又可以尽早恢复视力，且可以防止复发。 We conducted a clinical analysis of 20 patients with idiopathic orbital bleeding and found a high incidence of adolescents, 75% of the pre-20-year-old incidence, mostly due to vascular abnormalities. Diagnosis of intraorbital bleeding easier, in the early stages of orbital puncture blood, to relieve symptoms. After the disease is stable, more aggressive treatment is surgery, so that both a clear diagnosis, but also to restore vision as soon as possible, and can prevent recurrence.