Introduction: Eye trauma represents a serious public health problem and leading cause of visual impairment. The aim is to show emergency management in anterior segment trauma that occurred in the department of Ophthalmology at the County Hospital Sibiu. Methods: The study is based on a total of 92 cases, with different types of injuries for the period of 5 years between 2013 - 2017. The data were extracted from the patient’s medical recordings related to the therapeutic conduct and the results from the specialized outpatient clinic files. Results: The distribution by type of injury reflects that 17.39% of the cases are concussions from which in 14.13% anterior segment concussion with scleral rupture (13 cases) and 3.26% anterior segment concussion without scleral rupture(3 cases). The other 82.60% of total cases are penetrating trauma split in 27.17% trauma with intraocular foreign body (25 cases), 52.17% closed- globe injury types, as contusion (48 cases) and 3.26% cases with evisceration of the eyeball (3 cases). Conclusions: Ocular traumas must be treated with high priority. The integrity of the eyeball must be reinstated. In most cases the functional recovery was partially because of the following affections: corneal leukoma, traumatic cataract, uveitis, and secondary posttraumatic glaucoma. Eyeball evisceration was not performed in emergency.