The Eye Injury Registry of Alabama has been collecting epidemiologic, treatment, final outcome, and rehabilitation information on serious ocular trauma since 1982. By December 31, 1989, 150 motor vehicle crash-related eye injuries had been registered. This is the largest series of serious motor vehicle crash-related eye injuries reported. The mean age of those injured was 29 years;​ 61% were between 16-35 years of age, and 73% were males. Ten individuals (7%) suffered bilateral eye injuries. The retina was injured in 47% of eyes. The initial visual acuity was 19/200 or worse in 47% of eyes. Forty percent of eyes with at least 3 months of follow-up remained legally blind, and 12% of eyes required removal.