Rossin EJ, Szypko C, Giese I, et al. - In this retrospective consecutive case series, researchers identified clinical and radiographic characteristics that are correlated with increased risk of substantial ocular injury in the setting of orbital fracture. The eligibility criteria for the training sample were met by a total of 430 consecutive patients (500 eyes) between 2012 and 2017. Eighty-eight additional consecutive patients (97 eyes) between 2017 and 2018, who met inclusion criteria, were collected as a test sample after developing a predictive model. Data reported that the overall rate of substantial ocular injury was 20.4%, and 14.4% was the rate of injury that needed immediate ophthalmic treatment. Five variables have been shown to be correlated with an elevated risk of substantial ocular injury: blunt trauma with a foreign object, inability to count fingers, roof fracture, diplopia on primary gaze, and conjunctival hemorrhage or chemosis. There was a substantial ocular injury in a minority of patients with an orbital fracture. The substantial ocular injury was associated with certain radiographic and clinical results. In prospective longitudinal settings, testing of the algorithm seems warranted.