Correct management of traumatized eye is a complicated task needing a sound evaluation of the extent of trauma. An initial history, physical examination and judicious use of Para clinical techniques to determine the extent of injury and construct a prognostic view in mind, are a prerequisite to correct surgical approach to a traumatized globe. The vitreoretinal surgeon is usually not the first physician to see the patient and is consulted for management after a primary ophthalmologist has either repaired an open globe, or has diagnosed the open globe injury or presence of IOFB. For this reason, the primary steps of management of an open globe, although of outmost importance, are not addressed in this chapter.