An uncommonly serious case of an uncommon sport injury.

BACKGROUND A 55 year old man sustained a severe ocular injury when hit by a cricket ball even though he was wearing a helmet. METHODS A suprachoroidal haemorrhage was drained and dense intravitreal blood was removed. An inferior buckle was applied with the use of intraocular gas. A macular haemorrhage resolved slowly. RESULTS Despite several surgical procedures over 1.5 years, the final visual acuity of the patient was only 6/60 because of a dense macular scar. CONCLUSIONS Helmets worn as protection when playing cricket need to be designed better and be of better material. Eye protection should be worn at all levels of play.