The old adages in both baseball and softball are “keep your eye on the ball” and “you can’t hit what you can’t see.” The advice emphasizes the crucial connection between vision and visual processing in these sports. This chapter provides an in-depth examination of the ophthalmologic considerations in baseball and softball, covering fundamental rules, player roles, protective equipment, game structure, and the occurrence of ocular trauma in these sports. Additionally, it explores vision-related research to shed light on the intricate dynamics and potential remediation/training possibilities that contribute to high performance. The chapter emphasizes the most prevalent ocular injuries in baseball and softball. It offers valuable insights into the assessment of such injuries and the importance of appropriate equipment for injury prevention.