Ophthalmic examination after severe trauma can be difficult. Obtaining a visual acuity and pupillary examination may be the most important elements to ascertain. Obvious trauma requires careful handling of the eye with care taken to prevent any pressure on the globe if an open globe is suspected.When direct visualization is not possible, gentle ultrasound and computed tomography should be used to evaluate the globe. Magnetic resonance imaging is contraindicated in any case where a metal object is thought to be involved.If surgical exploration is planned, a fox shield, antiemetics, intravenous antibiotics, and update of tetanus status should be completed.