Introduction & Purpose : The orbit is a four sided pyramid housing precious contents, the globe and its surrounding soft tissue adnexea. Even a modest change in the position of one of the bony walls can have a significant impact on the orbital volume and, thus, globe position. Aim : A study  was designed to analyse the incidence and spectrum of ophthalmologic injuries in patients with craniofacial fractures involving orbital walls and draw a correlation  for their severity scales.  Materials and Method:  60 Subjects  with craniofacial fractures with suspected orbital wall involvement underwent thorough clinical examination & plain radiographic assessment using Para Nasal Sinus x – ray , CT scan using axial and coronal section of the orbit. Specific code (F_X M_X R_X L_X)  was assigned for pattern of fractures in each case. Ophthalmic findings were recorded and correlation drawn between patterns of fracture, their etiology and ophthalmic injuries and their severity scale . Statical analysis  test  done using Chi square Method. Result : A male subjets were Most commonly involved with age group between 20 to 30 years. Orbital floor fractures 81.08% (n=60) were most common followed by medial wall 68.91% (n=51), lateral wall 66.21% (n=49), and roof 32.43% (n=24). Minor ophthalmic injuries (60.14%) were mostly associated with two wall orbital fractures. While moderate (24.63%) and Major (15.21%)  ophthalmic injuries were most involved   when three orbital walls were fractured. RTA (73.3%) was the most common etiology  followed  by assault (15%) and falls (10%). There was a significant association observed between etiology and severity of ophthalmic injuries with a p< 0.000. Conclusion : A prompt and systematic ophthalmic examination is indispensible when there are two or more  orbital wall fractures as 15.21% of these cases have major ophthalmic injuries which may or may not be grossly evident, but have the potential to cause a serious threat to the visual status.