To the Editor.— In the Dec 28, 1984, issue ofThe Journal, Drs Schultz and de Camara 1 described various types of facial athletic injuries, the approach their diagnosis, and their treatments. Unfortunately, this article did not adequately emphasize the possibility of concurrent eye, ear, nose, and throat, or neurological injuries. As an ophthalmologist, I noted only one mention of concurrent eye injury, which was to the globe whenever a penetrating eyelid laceration was present. While many athletic-related facial injuries may appear minor, it remains the responsibility of the physician completely evaluate a patient in a multisystem fashion. Eye injuries can result without external or radiographic evidence of other facial abnormalities. Following a complete history, an eye examination should be performed. The complete eye examination would include visual acuity testing, the evaluation of extraocular movements, pupillary light reflexes, slit-lamp examination, intraocular pressure measurement, and funduscopic evaluation. Evaluations for