Pickleball Eye Injuries Surge Among Adults Over 50: Experts Warn on Growing Risks

Pickleball, the fastest-growing sport in the United States, has brought a surprising health risk to its expanding community, notably a surge in serious eye injuries among players aged 50 and older. Between 2005 and 2024, over 3,100 ocular injuries linked to pickleball were treated in US emergency departments, with nearly 1,262 cases reported in 2024 alone according to a recent study published in JAMA Ophthalmology. This alarming trend highlights the need for increased awareness and safety measures within this enthusiastic but vulnerable age group.​

Rising Numbers and Severe Injuries

Researchers analyzing national emergency data estimated that about 70% of pickleball-related eye injuries occurred in adults over 50 years. Injuries ranged from corneal abrasions and hyphema (blood in the eye) to more severe trauma such as retinal detachment, globe trauma, and orbital fractures—conditions that can lead to lasting vision impairment if untreated.​

Data from the National Electronic Injury Surveillance System showed a rising incidence, with an estimated annual increase of approximately 405 eye injury cases from 2021 to 2024, a statistically significant rise (P = .004). The rising popularity of pickleball, especially among older adults, appears to correlate strongly with this increase in injuries.​

Expert Insights

Dr. Jonathan C. Tsui, a professor at Rutgers New Jersey Medical School and lead author of the study, explained that many new players, particularly older adults, are unfamiliar with the game’s speed and dynamics, putting them at higher risk of being struck by fast-moving balls or paddles. “The lightweight, perforated pickleballs travel quickly with minimal air resistance, increasing the danger of eye impacts,” he noted. Dr. Tsui emphasized the urgent need for protective eyewear in casual and professional play settings, which currently lacks standardized safety guidelines.​

Similarly, Dr. Matthew Gorski, an ophthalmologist at Northwell Health, highlighted cases where well-known public figures sustained serious pickleball eye injuries. He expressed concern about the lack of mandated protective equipment, stating that such measures are crucial to preventing permanent damage in this vulnerable population.​

Context and Broader Injury Trends

Beyond ocular injuries, pickleball-related injuries overall have surged in recent years. The average age of injured players is around 64 years, with extremity fractures (especially wrist fractures) and sprains being the most common injuries. Adults aged 50 and above constitute more than 90% of all reported pickleball injuries, reflecting both the sport’s popularity in this age group and their susceptibility to injury due to physiological factors like decreased agility and slower reflexes.​

The evolution of the sport—with advancements in paddle and ball design—has increased game speed, which may contribute to the heightened injury risks. As the player base grows, especially among the less experienced and physically fragile, the incidence of injury climbs correspondingly.​

Implications for Public Health and Players

The surge in eye injuries among older pickleball players illustrates a critical public health concern. Vision loss or impairment has profound impacts on quality of life and independence, particularly for adults over 50. Therefore, increasing awareness about eye safety and encouraging the use of protective eyewear are essential steps. Ophthalmologists and sports medicine experts strongly advocate for mandatory protective goggles or glasses similar to other racket sports, where eye protection is standard practice.

Moreover, players should be educated on injury prevention strategies, including warming up appropriately, improving court awareness, and potentially modifying play intensity to reduce risk.​

Limitations and Conflicting Perspectives

While the data indicate a clear increase in pickleball-related eye injuries, the studies primarily rely on emergency department records, which might underestimate less severe injuries managed in outpatient or primary care settings. Additionally, more research is needed to establish whether protective eyewear use effectively reduces injury rates in recreational play, as no standardized guidelines currently exist. Some players and critics also voice concerns regarding comfort and practicality of protective gear, which could affect compliance.​

What This Means for You

If you or a loved one plays pickleball, especially those aged 50 or older, consider investing in quality sports goggles designed to absorb impacts. Recognize that while pickleball offers excellent physical activity and social engagement, it carries risks like any sport. Responsible play, safety awareness, and protective equipment are key to enjoying the game without compromising eye health.

Medical Disclaimer

This article is for informational purposes only and should not be considered medical advice. Always consult with qualified healthcare professionals before making any health-related decisions or changes to your treatment plan. The information presented here is based on current research and expert opinions, which may evolve as new evidence emerges.

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