23/09/2025
Helmets are just as important on the ground!
💡 Despite the high risk of head injury in equestrian activities, helmets are still under-utilised by adult riders - and the risks are many, including life altering eye injuries.
A retrospective study recently conducted at a major academic medical institution in the southeastern United States identified 73 horse-related ocular injuries from 50 patients, with a mean age of 37 years, between 2015 and 2023.
The most frequent cause of eye injury was being kicked by a horse, which accounted for 50% of the cases. Falls represented 28%.
The spectrum of injuries included orbital fractures, which appeared in 58% of incidents and constituted the most commonly encountered trauma.
Eyelid and periocular lacerations made up 16% of cases, while traumatic optic neuropathy and corneal abrasions each covered 5%.
Severe open globe injuries were the least common injury, and these usually resulted from horse kicks.
Due to the mechanism and severity of these injuries to the face, nearly one-third of affected patients required surgical intervention, and many experienced long-term complications, such as chronic pain and vision loss.
Despite the clear risk when working with horses, helmet use and compliance with protective gear in equestrian activities remains low, with only about 9% of adult riders (Stanfill et al., 2020) consistently reporting helmet use.
❓Has working with or handling horses ever resulted in an eye injury for you or someone you know? Would protective gear have helped prevent this injury? Share your experience in the comments below.
📑 Cullen Moran, Maya Harrington, Jonathan Barnett, Laura Wayman, John Bond.Horsing Around: A Retrospective Study of Equestrian Related Eye Injuries in the Emergency Department (2025).