Most of the blast injuries are eyelid, conjunctiva and corneal foreign bodies, such as gunpowder residue, clay, stone, etc. In first aid, the larger foreign bodies can be removed at one time, more and smaller foreign bodies, superficial ones can be removed first, deep corneal foreign bodies need to be removed under the microscope in the operating room, and corneal wound closure should be checked after foreign body removal and sutured if necessary. Severe rupture injury or penetrating injury of the eye, often combined with intra-bulbar foreign body, requires early debridement and suturing to effectively close the wound and restore intraocular pressure, the good or bad early debridement and suturing directly determines the prognosis of the affected eye, and is also one of the factors that determine the difficulty of second-stage surgery. For eye removal, we must be cautious and try not to consider the initial eye removal and save the “endangered” eye as much as possible. Many traumatic eye injuries can be avoided, but it is important to have the right concept of first aid and postoperative management of traumatic eye injuries. Because of the delicate structure and complex physiology of the eye, and the transparent nature of other organs, the response to trauma, tissue repair, and final outcome are different from those of other tissues in the body. For corneal wound closure it is best to use atraumatic sutures under a microscope to minimize tissue damage caused by sutures, while scleral wound closure should also be performed under a microscope, and if not available it is best to transfer to a hospital for treatment. If the cornea and lens are damaged and cloudy and cannot be restored to transparency, corneal transplantation and lens removal with IOL implantation must be performed, while the retina with light-sensitive function is a nerve tissue, and its tissue repair has its own special characteristics. Injury to the sclera, choroid and retina of the blast injury, the first stage of wound closure, to avoid excessive loss of eye contents, can be recovered as far as possible, while avoiding intraocular tissue embedded in the outer wound. After suturing, a balanced salt solution should be injected into the eye to restore intraocular pressure and also to check whether the wound is completely closed. The second stage surgery is to repair the inner layer of the eye wound, and it is generally best to operate within 1-3 weeks after the occurrence of trauma. If the timing is missed, the wound self-repair will enter the fibroproliferative phase or even the scarring phase, and the retina and choroid will be stiffened, which is not conducive to anatomical reset. With the development of ocular microsurgery technology, especially the modern cataract extraction and vitrectomy, the concept of ocular trauma treatment has also changed greatly, and many seemingly “endangered” eyes can have a better prognosis after active and correct diagnosis and treatment.