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Few clinical entities cause more apprehension for emergency department (ED) personnel than ocular trauma. However, a systematic approach to the ocular trauma patient and knowledge of a few common clinical situations can ease this feeling of inadequacy and improve patient care. This article will outline a basic approach to the ocular trauma patient and describe a variety of traumatic ocular conditions as well as their initial management and potential pitfalls. Copyright © 2000 by Aspen Publishers, Inc. [ABSTRACT FROM AUTHOR]