Who should receive emergency assessment for serious ocular injury by an ophthalmologist in the setting of orbital fracture? This question is important on a variety of levels. The first and foremost is the care of the patient. Often, the physician to first assess the patient may have neither the expertise nor the equipment to perform the type of examination required to diagnose or rule out a sight-threatening ocular injury. Given that premise, all patients could reasonably be referred for a more detailed examination by an ophthalmologist.