In brief: Hyphema was the most common serious injury in this review of 67 squash and 18 racquetball eye injuries. Several patients had corneal lacerations and retinal detachments, and many had lid contusions, small lacerations, and subconjunctival hemorrhages. Eight sustained severe loss of vision. Open eye guards did not protect all players who wore them, and all types of prescription lenses were breakable. Since these patients had several years of experience, competitive players may be at higher risk. Carefully chosen eye guards and defensive playing could solve much of the problem.