An unusual fracture of the facial skeleton has been described to show that an apparently simple injury to the lateral aspect of the orbit can lead to serious consequences. In this case, the consequence was progressive loss of vision, which possibly could have led to blindness. It is recommended that all diagnostic methods should be employed in assessing an injured patient. The patient's history, in conjunction with inspection, palpation, and clinical judgment and experience, will almost always lead to a diagnosis. Radiographic confirmation can then be obtained and special views employed when indicated. These methods must be used in the evaluation of even apparently simple injuries so that the patient can be properly treated.