The conventional radiographs, computed tomograms, and clinical course of 17 patients with 23 orbital apex fractures were reviewed. The type of fracture was identified, and the presence of optic nerve damage, the superior orbital fissure syndrome, or the orbital apex syndrome was noted. It was concluded that fractures of the orbital apex may frequently be unsuspected clinically and are not as rare as the literature indicates. Computed tomography provides an excellent means of radiologic diagnosis in the acutely traumatized patient.