Purpose: To describe the epidemiology and the different patterns of ocular trauma in children presented to Kasr El Aini Hospital, Cairo University. Methods: A prospective epidemiological and clinical study of ocular trauma in children who were admitted to Kasr El Aini hospital during a 6-months period from April 2012 to September 2012. Cases were analyzed with respect to: (1) demographics, (2) time, place and nature of trauma, (3) type of injury, (4) time of presentation, and (5) visual acuity at presentation and visual outcomes following primary repair. Results: Eighty eyes of seventy-five patients were included, sixty-seven eyes (83.75% of all eyes) had open globe injuries, 11 eyes (13.75% of all eyes) had closed globe injuries and two eyes (2.5%) had chemical injuries. Open globe injuries were more common than closed globe injuries, and globe lacerations were more common than ruptured globes. Open globe injuries, especially ruptured globes, had the worst visual outcomes. Of the open globe injuries, 24 eyes (30% of all eyes) were ruptured globes and 43 eyes (53.75% of all eyes) were lacerated globes, thirty-one were penetrating injuries (38.75% of all eyes), six had intraocular foreign bodies (7.5% of all eyes), and six had perforating (7.5% of all eyes). Seven eyes developed posttraumatic endophthalmitis (10% of open globe injuries). The visual outcome was correlating to the visual acuity at presentation.Conclusion: Open globe injuries, especially ruptured globes, had the worst visual outcomes. Open globe injuries were more common than closed globe injuries, and globe lacerations were more common than ruptured globes. The majority of pediatric ocular traumas were accidental injuries occurring mainly in the low socioeconomic and low educated populations.