Evidence map›Paper›PMID 41545712›Full record

ArticleEye (London, England)2026

Pickleball and Ball Sports-Related Ocular Trauma in the United States.

Jainam Shah, Sachin Pathuri, Anurag Shrivastava, Joshua Ong, Jason Zheng, Ibrahim Furkan Acar, James Plotnik, Karl Golnik, Mark I Salevitz, Alex Suh and 1 more

Erratum issuedAbstract read
In one paragraph

Article in Eye (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Jainam Shah *Albert Einstein College of Medicine, Bronx, NY, USA. jainam.shah@einsteinmed.edu.ORCID 0009-0004-3088-7543
Sachin Pathuri *Albert Einstein College of Medicine, Bronx, NY, USA.
Anurag ShrivastavaAlbert Einstein College of Medicine, Bronx, NY, USA.
Joshua OngDepartment of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, Michigan, USA.ORCID 0000-0003-4860-827X
Jason ZhengCalifornia University of Science and Medicine, Colton, CA, USA.
Ibrahim Furkan AcarUniversity of California, Los Angeles, CA, USA.
James PlotnikDivision of Ophthalmology, Phoenix Children's Hospital, Phoenix, AZ, USA.
Karl GolnikDepartment of Neurology, Barrow Neurological Institute, Phoenix, AZ, USA.
Mark I SalevitzDivision of Ophthalmology, Phoenix Children's Hospital, Phoenix, AZ, USA.
Alex SuhDepartment of Ophthalmology, USC Roski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Andrew G LeeCenter for Space Medicine, Baylor College of Medicine, Houston, TX, USA. aglee@houstonmethodist.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo characterize national patterns of ocular trauma related to pickleball, dodgeball, and kickball in the United States, with emphasis on incidence, demographics, injury mechanisms, and diagnoses.

methodsData from the U.S. Consumer Product Safety Commission's National Electronic Injury Surveillance System (2014-2023) were reviewed. Injury cases were identified using body part codes for the eye, face, and head combined with product code 3235 ("Other Ball Sports"). Trauma narratives were subsequently manually reviewed to confirm sport involvement alongside ocular and/or orbital injury. National injury estimates were calculated using the NEISS-provided sample weights. Annual incidence per million people was calculated using data from the U.S. Census Bureau and American Community Survey. Statistical analyses included descriptive statistics and inferential testing using chi-square tests, ANOVA, and linear regression.

resultsA total of 120 confirmed cases were identified, corresponding to an estimated 7974 ocular injuries (95% CI: 7184-8764). Weighted estimates attributed 3874 cases (95% CI: 3429-4319) to dodgeball, 2573 (95% CI: 2218-2928) to pickleball, and 1527 (95% CI: 1255-1799) to kickball. Pickleball injuries primarily affected older adults (mean age 58.27 years), whereas dodgeball and kickball injuries occurred mostly in youth (mean ages 13.32 and 14.88 years). Direct ball impact was the leading mechanism, with corneal abrasion as the most frequent diagnosis. Falls (15.38%) and orbital fractures (11.54%) were more common with pickleball. Linear regression demonstrated a significant increase in pickleball-related ocular trauma from 2014 to 2023 (P = 0.04).

conclusionsPickleball-related ocular trauma is increasing nationally, particularly among older adults. These largely preventable injuries highlight the need for sport-specific preventive strategies and increased access to protective eyewear.

Indexed as

Athletic InjuriesEye InjuriesAdolescentAdultAgedAged, 80 and overAge DistributionChildChild, PreschoolFemaleHumansIncidenceInfantMaleMiddle AgedUnited States

Identifiers

PMID41545712
PMCPMC13013638

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.