The swinging eyelid approach (SEA) is an orbital approach that combines the transconjunctival approach with lateral canthotomy and cantholysis. We report its functionality and frequent use due to its wide operative field and inconspicuous scarring compared with other approaches. In this study, we quantitatively evaluated the postoperative ocular symptoms in a patient with zygomatic fractures treated by SEA. The average score of the questionnaire for ocular symptoms was 79/100 points, and both patient satisfaction and doctor evaluation were good (4.1 and 4.3, respectively) . No correlation was observed between the ocular symptoms and the doctor evaluation. Moreover, this study revealed that patient satisfaction cannot be obtained if the eye health is impaired.