The blunt force required to cause globe rupture is reported to be extremely high, with a 50% risk of rupture following pressure of 6750mmHg. In the vast majority of orbital floor fractures, the fracture allows for decompression and dissipation of force out of the orbit, thus protecting the globe from rupture. In patients where the blunt trauma force exceeds the protective mechanisms of the orbit or there is a penetrating element, the patient presents with an associated globe rupture. We present 2 cases of globe rupture in association with orbital floor fractures, to highlight the initial emergency management and longer term visual outcomes. We include a discussion of the instances where orbital floor reconstruction may still be considered in cases where ocular prognosis is poor, in order to facilitate the placement of a prosthesis.