Ocular trauma, which occurs in many different circumstances and by a variety of mechanisms, is an important cause of avoidable severe visual impairment at all ages but particularly in young adult males and is the leading cause of monocular blindness in the United States Thorough but safe clinical assessment, supplemented when necessary by imaging, is crucial to effective management Ocular damage and the possible need for early assessment by an ophthalmologist need to be borne in mind in the assessment of any patient with mid-facial injury