Ocular contusion may result in numerous types of retinal breaks, including horseshoe tears, operculated holes, large irregular retinal breaks, macular holes, and, most often, retinal dialyses. Supranasal dialyses have a high correlation with trauma and may require months before symptoms appear. Large irregular breaks occur only following trauma and may be found in the area of contusion. Horseshoe-shaped tears and operculated holes may occur at areas of vitreoretinal attachment. Macular holes may also occur from trauma, either from detachment of vitreous or as a sequela of retinal edema. Careful examination of the posterior pole and retinal periphery is necessary when there is a history of trauma or findings indicative of a past episode of trauma. Binocular assessment of the retina is a prerequisite to conducting an appropriate examination.