Eye trauma is a major cause of blindness, especially in children. A substantial proportion of trauma patients develop serious complications. This study includes 319 Arab patients with ocular trauma ranging in age from 4 to 60 years (median 17.6). In 180 cases (56%), the cause was blunt trauma which precipitated hyphaema. A further 114 cases (36%) were caused by perforated ocular wounds, and there were 15 (8 %) intraocular foreign bodies. The complication rate was 65.6%: cataract in 160 (50%), vitreous haemorrhage in 23 (7%), retinal detachment in 21 (6.6%), traumatic maculophathy in 7 (2%), endophthalmitis in 2 and glaucoma in 5. Visual results included 25 monocular blindness (7.8%), 58 (18%) who could only count fingers or perceive light (monocular), 18 with vision between 6/36 and 6/60, 27 (8.2%) between 6/18 and 6/24, and 191 (60%) with 6/12 or better.