One-third of orbital blowout fractures are sustained during sport. Soccer is most commonly involved. Though visual acuity recovery is usually complete, permanent loss of binocular visual field is almost universal. Typically high-energy blows by opponent's finger, fist, elbow, knee or boot are responsible. Injuries to the eye itself may also be sustained and should be looked for. Ocular protection may be feasible in some sports, but the main preventive measure to be addressed is the reduction in aggressive play or deliberate injury.