Abstract: Objective:To explore clinical efficacy of orbital muscle cone and the sclera Hydroxyapatite implantation.Methods:70 patients were surgery by January 2002-February 2011,Hydroxyapatite implantation in autologous scleral shell and autologous orbital muscle cone were performed 30 patients and 40 patients respectively.Observe after the appearance of the eye,complications(postoperative ocular exposure,Postoperative infection,etc.),ocular activity,Using 5-point verbal rating score(VRS-5) on postoperative pain score.Results:All patients were followed for an average time of(7.23±1.01) months;the Sclera conjunctival of 4 patients were dehiscence,and the artificial eye exposure.1 case of conjunctival hyperemia were occurred in control group.1 case of postoperative conjunctival hyperemia,but no infection,Eyelid,depression and the artificial eye exposure in observation group.There is statistically significant difference between 2 group with orbital activity,and postoperative pain,P<0.05.Conclusion:Muscle vertebral implants were safe and effective,with fewer complications and pain.