Santamaria J, et al. - Given orbital roof fractures represent a significant reason for morbidity in trauma and are related to a spectrum of orbital and ocular injuries, researchers focused on the patterns of orbital roof fractures as well as quantified the rate of acute intervention vs non-roof involving orbital wall fractures in this retrospective study including 50 roof involving and 290 non-roof involving orbital wall fractures. Non-roof-involving fractures were most commonly caused by assault (40.7%) while a higher rate of roof fractures was reported in relation to falls from height (20.0%). A common occurrence of concomitant ocular injury was reported in roof-involving orbital wall fractures, and more urgent ophthalmologic assessment and acute intervention may be needed in the presence of concomitant ocular injury. In caring for patients with roof-involving orbital wall fractures, a high index of suspicion and thorough investigation is justified owing to the less easily available subjective patient data most of the time.