Objective: The aim of this study is to analyse different patterns of the midfacial fractures along with their etiology, incidence and associated ocular injuries. Methodology: A retrospective study was conducted to include 60 patients with maxillofacial fractures who reported to Santosh Medical College and hospital, Ghaziabad in the past 1 year (2021-2022). Out of this 60 patients, 31 patients presented with midface fractures. Isolated nasal bone, zygomatic arch and mandibular fractures were excluded from the study. Detailed clinical examination with focus on extraocular and intraocular injuries was performed. Patients’ demographic details, fracture etiology and periocular signs and symptoms were recorded to be analysed for the study. Results: Out of the 31 patients who presented with midface fractures, majority were in second decade to fourth decade of life. 26 were males and 5 were females, with the median age of 26.4 yrs. RTA (road traffic accident) was the most common cause of injury. Majority of extraocular injuries which the patients presented with were periorbital edema (80%) and subconjunctival haemorrhage (70%). Zygomaticomaxillary complex fracture (58%) was most common fracture followed by isolated orbital fracture (16%) and Le fort II fracture (12%). Conclusion: Maxillofacial trauma is commonly associated with Le Fort fractures, zygomaticomaxillary fractures and orbital fractures which may lead to grave ophthalmic injuries, and sometimes blindness. The need for detailed clinical examination including ophthalmologic consult is recommended for identification of ocular injuries so that active interventions can be immediately performed if necessary.