Materials and methods: This is a prospective, open-label study and patients with a history of ocular injury from both outpatient and inpatient department in a tertiary care hospital were included in the study. Bedside visual acuity, detailed anterior and posterior segment evaluation was done. Surgical management was done when needed. Statistical analysis was done using percentage.

Results: Out of 44 cases included, 40 were male, of which 35 cases had sustained the injury to both eyes. Age of 11cases (25%) were in the active and productive age group of 16-25 years. Road traffic accidents accounted for 86% of the injuries. The most common structures affected were the periorbital region and the lids (38.6%). Lid tear was seen in nine patients which was sutured. Traumatic optic neuropathy was seen in five cases out of which three cases improved following treatment.

Conclusion: The initial evaluation of ocular trauma, the decision making regarding treatment and counseling of the patient and family members are very important which requires skill, knowledge and experience. Careful documentation and appropriate surgical planning will help to assure the best possible outcome.