A traumatic orbital pseudomeningocele is a rare complication of orbital trauma associated with orbital roof fractures and is underreported in the literature. Clinical signs may include proptosis, ophthalmoplegia, and diplopia, and when severe, there can be additional periorbital swelling from the anterior subcutaneous extension of the pseudomeningocele. We present a rare case of an orbital roof fracture resulting in an orbital pseudomeningocele with periorbital extension. CT is the preferred imaging modality for detecting orbital and other maxillofacial fractures, and it is sensitive to structural complications of this nature. In most cases, surgical repair is necessary. Our case emphasizes the significance of diagnostic imaging and collaborative care for optimal patient outcomes.