In our retrospective study we researched for possible injuries to the eye and orbit in patients who suffered from polytrauma. We assessed 6,000 patients with severe trauma, who were treated at the Unfallkrankenhaus Berlin (UKB) between February 2006 and August 2014. Out of them, 1,061 maxillofacial CT scans were performed additionally to a whole-body scan as further injuries to eye and/or orbit could clinically not be excluded. We used a systemic diagnostic workup to examine the frequency and severity of a trauma to osseous and soft tissue structures of the orbit. For the assessment of the bony orbital walls we included the detection of a fracture gap, a rough dislocation of bony fragments as well as the detonation of osseous sutures between facial bones. Concerning the orbital soft tissue structures we looked at injuries of the ocular globe including the lens, extraocular muscles, optic nerve and orbital vessels. Complementary, we collected clinical data of eye examinations of our patients by using the medical information system (MIS) software medico. We appraised the ophthalmic diagnostic findings based on three criteria: the intraocular pressure (IOP), the vision and eye movements and recorded whether surgery or conservative treatment was conducted. Out of 1,061 maxillofacial CT images, 811 were excluded. 668 patients did not have a trauma to the midface and 143 patients only showed fractures of the nose and/or jaw. The remaining 250 patients revealed traumata to the ...