Ocular trauma in sports is unexpected and can result in dramatic visio
n loss. Some of the most insidious yet serious ocular injuries result
from retained intraocular foreign bodies, and therefore sports physici
ans, trainers, and emergency physicians should have a high degree of s
uspicion when evaluating sports- and work-related eye injuries. This a
rticle presents a stepwise approach to history, physical exam, managem
ent, and referral when intraocular foreign bodies are a possibility. T
he authors also present pitfalls in diagnosis, give specific treatment
options, and stress the importance of primary prevention and safety p
rotection.