Assess visual acuity
Assess EOMs
Globe disruption
Entrapment of muscles
Abnormal VA or EOM
Abnormal Iris
Traumatic hyphema
Unable to assess globe
Suspected multiple orbital fx’s
Unrelenting N/V w/o obvious cause
Bradycardia
Concern of orbital injury?
Enophthalmos (globe looks sunken in)
Vertical dystopia (one globe more inferior/caudal than the other)
Orbital swelling or ecchymosis