Analysing the diagnosis and treatment of 100 patients with combined injuries of the organ of vision and orbital zone of the face provided clinical features of lesions in peace-time or battle accidents. Battle accidents were found to be prognostically worse for visual functions. The use of immunotherapy for inflammatory complications of a traumatic process is demonstrated to be advisable. A program of stepwise treatment of combined lesions of the eye and the orbit with the priority of preserving the function of the vision organ. At stage 1 it is necessary to take measures for restoration of visual functions to avoid their decline or loss. At stage 2 reconstructive interventions in the orbit and visceral cranium, directed to the provision of topographic and trophic conditions for further restoration of eye functions should be performed. One-stage surgical intervention may be used if there are no real danger of vision loss. The peculiarities of reconstructive treatment of multifractional fractures of the orbit in the battle accident and fragmental fractures of the orbit in peace-time accident are described. Patients with combined injuries of the vision organ and the orbit in specialized institutions should be cared.