Pickleball is one of the fastest-growing sports in the United States, drawing players of all ages with its social nature and easy learning curve. But as participation surges, doctors are seeing a concerning side effect: a rise in eye injuries.
“Pickleball is a fantastic way to stay active, especially for older adults,” said Dr. Paige Arthur, an ophthalmologist and retina specialist with SSM Health. “But as more people take up the sport, we’re also seeing more eye injuries in clinics and emergency settings.”
Growing trend
The numbers reflect what physicians are observing firsthand. A recent national study identified roughly 1,200 pickleball-related eye injuries in 2024 alone, with cases increasing by more than 400 each year in recent years. Experts believe the real number may be even higher due to underreporting.
“With more players on the court — particularly beginners playing alongside more experienced competitors — the chances of accidental hits increase,” Dr. Arthur explained. “That mix of skill levels can create unpredictable situations.”
What makes pickleball risky?
Unlike some other recreational sports, pickleball involves quick reflexes and close-quarters play — both of which put the eyes at risk. “The ball may seem harmless because it’s lightweight, but it can travel up to 40 miles per hour,” Dr. Arthur said. “At that speed, it can reach you in less than half a second, which doesn’t leave much time to react.”
Doubles play, the most common format, adds another layer of risk. “When you have two players at the net, there’s a higher likelihood of being struck not just by the ball, but potentially by a partner’s paddle during a fast exchange,” she said.
Age can also play a role. While pickleball is popular among older adults, reaction times naturally slow over time, increasing vulnerability to fast-moving shots.
Injuries range from mild to severe
Not all pickleball eye injuries are the same. Some are relatively minor, while others can have lasting consequences. “We see everything from bruising around the eye to corneal abrasions, which are scratches on the surface of the eye,” Dr. Arthur said. “But there are also more serious injuries that can threaten vision.”
Those more severe cases can include retinal damage, tears, or even retinal detachment. In some instances, the force of impact can dislocate the eye’s natural lens or cause internal bleeding. “Serious injuries may require laser treatment or surgery,” she added. “That’s why it’s so important not to ignore symptoms.”
When to seek care
One of the biggest concerns with eye injuries is that serious damage isn’t always immediately obvious. “If you’re hit in the eye and notice any changes in your vision — like blurriness, flashes of light, floaters, or any loss of vision — you should see an ophthalmologist right away,” Dr. Arthur emphasized.
She also recommends seeking care for significant pain, visible bleeding, or bruising around the eye. “Even if symptoms seem mild at first, it’s best to get checked,” she said. “Conditions like retinal tears may not cause immediate symptoms, but they can progress quickly if left untreated.”
Protecting your eyes on the court
The good news is that most pickleball eye injuries are preventable. “The single most effective step players can take is wearing protective eyewear,” Dr. Arthur said. “Polycarbonate safety goggles with front and side coverage — ideally wrap-around — can significantly reduce the risk of injury.”
While regular glasses or sunglasses offer some protection, they aren’t designed for sports impact. “Sports-specific eyewear, like racquetball or squash goggles, provides the best protection,” she noted. “They’re designed to withstand high-speed impacts and stay securely in place during play.” These goggles are widely available at sporting goods stores, online retailers, and retail pharmacy chains. Prices typically range from about $15 to $100, with dependable options often available around $30.
Play smart, Stay safe
“Pickleball is a great sport for fitness and social connection,” Dr. Arthur said. “By taking a simple step like wearing protective eyewear, players can enjoy the game while protecting their long-term vision.” As the sport continues to grow, awareness may be the key to keeping players safe — and seeing clearly for many matches to come.
If you experience an eye injury — or want to take steps to protect your vision before one happens — SSM Health’s experienced eye care specialists are here to help. From routine eye exams to advanced treatment for complex conditions, schedule an appointment today and keep your vision safe both on and off the pickleball court.
