**20.1 Evaluation**

Evaluation starts with a detailed history of the trauma, from the child if possible and also from the parents. Examination of the traumatized eye may be difficult in children. It is important to be patient and gentle. A mild sedative may sometimes be helpful. Visual function should be estimated in the beginning of the examination. Literate or illiterate Snellen charts may be used if possible. Otherwise reading any material or finger counting may help to determine the approximate level of visual acuity. Afterwards lids, conjunctivas and orbit are examined externally to reveal any lid lacerations or orbital rim fractures. The globe is examined carefully and gently. Irregular pupils, edema of the conjunctiva and blood in the anterior chamber and in the vitreous cavity are signs of severe ocular injury.
