Types of Sports Eye Injuries

Most parents wouldn’t think that an innocent game of softball could lead their child to the emergency room, but sports and recreational activities cause many thousands of eye injuries each year. A study published in the journal JAMA Ophthalmology found that among fewer than a thousand U.S. emergency departments, there were about 30,000 sports-related eye injuries annually.

Baseball and softball are two common causes of sports-related eye injuries. Accidents or misjudging the speed or distance of a flying ball could cause a ball to hit the face. However, the American Academy of Ophthalmology says that 90% of sports-related eye injuries can be prevented by using proper protective eyewear.

Young girl playing with a baseball outdoors
Rebecca Nelson / Moment / Getty Images

Types of Injuries

An injury to the eye can be serious. The most common types of eye trauma that can result from sports injuries are blunt injuries, corneal abrasions, and penetrating injuries. As with any eye injury, it is important to seek care from a healthcare provider.

  • Blunt injuries: Blunt injuries occur when the eye is suddenly compressed by an impact from an object. They sometimes cause a black eye or hyphema (bleeding in the front of the eye.). Sometimes the eyelid can be bruised or discolored. More serious blunt injuries often cause broken bones around the eye or the orbital bones, and may sometimes seriously damage important eye structures, which could lead to vision loss. It’s important to seek the opinion of an eye doctor if your child receives a blunt injury to the eye, as the injury may be worse than it appears. 
  • Corneal abrasions: Corneal abrasions are painful scrapes on the outside of the eye or the cornea. If you’ve ever poked yourself in the eye, you’ve probably had a corneal abrasion. The abrasion can cause a lot of pain, especially in the first few minutes. A corneal abrasion hurts so much because the cornea has many nerve endings, and a layer of cells is actually scratched off the surface of the cornea. Most corneal abrasions eventually heal on their own, but your healthcare provider may prescribe medication to help control the pain. Sometimes healthcare providers will insert a “bandage contact lens,” which is simply a contact lens with no power that acts as a bandaid during the healing time.
  • Penetrating injuries: Penetrating injuries are caused by a foreign object piercing the eye. Penetrating injuries are very serious, often resulting in severe damage to the eye. These injuries often occur when shattered glass from broken eyeglasses enters the eye, which is why most glasses are not made of glass. However, some non-prescription sunglasses are made of glass. Be aware of this if you use sunglasses while playing sports, and be sure to look for polycarbonate lenses rather than glass. After a penetrating injury to your eye, you probably will be in serious pain and unable to hold your eye open. Sometimes this type of injury can even cause visible bleeding. Penetrating injuries must be treated quickly in order to preserve vision.

Protective Eyewear

Sadly, many people believe that wearing regular eyeglasses during sports will protect their eyes. The truth, however, is just the opposite. The lenses of regular eyeglasses can shatter upon impact by a ball, which could lead to a penetrating injury. All sports goggles and glasses should be made with polycarbonate lenses. Polycarbonate lenses are much stronger than regular lenses.

Each sport has a certain type of recommended protective eyewear, determined by ASTM International (a global standards developer). High-risk sports that require protective eyewear include, but are not limited to, basketball, baseball, hockey, and skiing.

A Word From Verywell

In order to protect your children’s vision, you must be proactive in protecting their eyes during sports activities. Many youth and children’s teams don’t require eye protection, so insist that your children wear safety glasses or goggles whenever they play. Also, remember to set a good example by wearing eye protection yourself.

8 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  2. America Academy of Ophthalmology. Sports eye safety.

  3. Blanch RJ, Good PA, Shah P, Bishop JR, Logan A, Scott RA. Visual outcomes after blunt ocular trauma. Ophthalmology. 2013;120(8):1588-1591. doi:10.1016/j.ophtha.2013.01.009

  4. Ahmed F, House RJ, Feldman BH. Corneal abrasions and corneal foreign bodies. Prim Care. 2015;42(3):363-375. doi:10.1016/j.pop.2015.05.004

  5. Hassan HT. The evaluation of bandage soft contact lenses as a primary treatment for traumatic corneal abrasions. Int J Clin Exp Ophthalmol. 2020;4(1):041-048. doi:10.29328/journal.ijceo.1001032

  6. Mwangi N, Mutie DM. Emergency management: penetrating eye injuries and intraocular foreign bodies. Community Eye Health. 2018;31(103):70-71.

  7. Hoskin AK, Philip S, Dain SJ, Mackey DA. Spectacle-related eye injuries, spectacle-impact performance and eye protection. Clin Exp Optom. 2015;98(3):203-209. doi:10.1111/cxo.12283

  8. American Academy of Pediatrics, American Academy of Ophthalmology. Joint policy statement: protective eyewear for young athletes.

By Troy Bedinghaus, OD
Troy L. Bedinghaus, OD, board-certified optometric physician, owns Lakewood Family Eye Care in Florida. He is an active member of the American Optometric Association.