Introduction: Sometimes, in cases of ocular trauma, the ophthalmologist must provide forensic evidence showing the status of the victim, and this requires a detailed eye examination, including an accurate description of lesions and appropriate investigations to support the diagnosis. 

Aim of the Paper: We present the epidemiological characteristics of a series of 109 cases of ocular trauma, in order to analyze the age, sex, type of injury, impaired eye and injured eye structures, and their forensic aspects. Material and Methodology: Of the 6839 patients admitted in the Ophthalmology Department of the "Prof. Dr. Nicolae Oblu" Emergency Clinical Hospital, Iassy, Romania, for a period of three years (01.01.2010 - 01.12.2012), a number of 109 patients with ocular trauma were studied. The electronic medical record of each patient was reviewed and informations were extracted and entered into a database. Cases were analyzed by age, gender, type of trauma, the affected eye, and ocular structures involved. Results: During a three years period (01.01.2010 - 31.12.2012), 109 patients (26 women and 83 men) were diagnosed with ocular trauma. They represented a rate of 1.59% of the total of 6839 patients admitted in the Ophthalmology Department of the "Prof. Dr. Nicolae Oblu" Clinic Hospital of Emergency, Iassy, Romania. Males were more affected than females (76.14% and 23.86%, respectively). 32.12% of patients were aged 3-20 years, 33.94% were aged 20-50 years and 33.94% of patients were over 50 years. The two eyeballs were affected in similar percentage (53.22% right eyeball and 46.78% left eyeball). Penetrating or perforating ocular injuries that mostly required eyeball reconstruction were the most common (88.07%). Conclusion: Open globe injuries are an ophthalmological emergency and require fast medical attention, as visual acuity recovery is extremely important. In certain cases, such as severe physical aggression, eye injury may result in eyeball loss and thus permanently mutilate the patient. Any ophthalmologist must be familiar with the laws in effect, in order to be able to detect forensic cases and to draft documentation, as thorough as possible of each clinical case.