ABSTRACT Retrobulbar hemorrhage (RBH), sudden space occupying or expanding intraorbital lesions, herniation, or swelling lead to decrease in visual acuity secondary to orbital trauma. RBH must be diagnosed and treated as early as possible without delay. The purpose of this article is to give a insight on various treatment options for RBH. MEDLINE database was used to perform literature review. RBH patients are classified into RBH classes I to III according to three different clinical and radiological manifestations of acute RBH. Three categories of manifestations of acute RBH serve as a diagnostic tool that may help in the determination of treatment options.