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Vitreoretinal Injury Associated with Sports Ball Ocular Trauma
Landon J Rohowetz1, Jason Fan1, Harry W Flynn1
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Clinical Ophthalmology (Auckland, N.Z.)
|June 30, 2025
Summary
Sports-related eye injuries, particularly vitreoretinal trauma from balls, can lead to vision loss. Protective eyewear significantly reduces these injuries, highlighting the need for continued safety measures in sports.
Area of Science:
- Ophthalmology
- Sports Medicine
- Trauma Surgery
Background:
- Sports activities are a leading cause of ocular trauma.
- Vitreoretinal injuries from sports balls can result in permanent vision loss and significant morbidity.
- Posterior segment injuries are common, particularly in young males.
Purpose of the Study:
- To review the mechanisms and consequences of sports-related ocular trauma.
- To discuss the types of vitreoretinal injuries associated with different types of sports balls.
- To emphasize the importance of eye protection in preventing sports-related eye injuries.
Main Methods:
- Review of literature on sports-related ocular trauma.
- Analysis of injury mechanisms based on ball characteristics (size, mass, velocity).
- Discussion of clinical presentations and outcomes of vitreoretinal injuries.
Main Results:
- Trauma mechanisms include direct globe contact, compressive forces, and equatorial expansion.
- Smaller, high-velocity balls (e.g., golf balls, paintballs) are linked to rupture injuries.
- Larger balls often cause contusive trauma, leading to vitreoretinal traction, retinal detachment, and giant retinal tears.
Conclusions:
- Eye protection standards have proven effective in reducing sports-related eye injuries.
- Continued evaluation and implementation of protective measures are crucial for athlete safety.
- Preventing disabling ocular injuries requires ongoing attention to sports safety protocols.

