Ocular trauma remains a common cause of vision loss worldwide. Progress appears to have been made in the treatment of intraocular foreign bodies and traumatic endophthalmitis particularly with the use of early vitrectomy and intravitreal antibiotics. Recent work increasingly supports the benefit of vitrectomy in conjunction with other modern surgical techniques for the treatment of other injuries of the posterior segment. This review highlights much of the literature on ocular trauma from the previous year and discusses the merits of current and future approaches to surgical intervention.