Background: Midface fractures are mostly associated with orbital injuries, among these fractures, zygomaticomaxillary complex (ZMC) fractures are the most common fractures associated with orbital involvement. Injuries to midface usually destroy the integrity of the orbital skeleton and are often complicated by ocular injury. Objective: The objective of the study is to determine the incidence and pattern of ocular injuries in maxillofacial trauma. Materials and methods: The study included 88 patients from 5 to 65 years of age who sustained maxillofacial trauma with orbital involvement. A routine clinical and radiological examination and a thorough ophthalmologic examination were performed. Results: Male predominance was noted (88.6%) and the majority of patients were found under the 16–25 years age group. RTA (72.7%) was the most common etiology for the injury followed by fall (20.5%). The ZMC fractures accounted for higher incidence of ocular injuries. Periorbital edema and ecchymosis were reported higher as extraocular injury. Loss of vision/blindness was observed in one patient. Conclusion: Maxillofacial trauma, particularly midface trauma may affect the integrity of the orbital region resulting in orbital injuries. Prompt recognition and efficient ophthalmic examination must be done for each maxillofacial trauma patient in order to provide appropriate management and to avoid further ophthalmic complications also.