A workplace eye injury can interfere with your ability to work, drive, read, and handle everyday activities. In New Jersey, employees may qualify for workers’ compensation when an eye injury arises out of and in the course of employment. Coverage may apply to a specific workplace accident or a qualifying occupational disease caused by repeated exposure.
Depending on the injury, workers’ compensation may provide authorized medical treatment, temporary wage replacement, and permanent disability benefits. Protecting those benefits begins with reporting the injury promptly and obtaining appropriate medical care.
Key Takeaways About Workers’ Comp for Eye Injuries in New Jersey
- New Jersey workers’ compensation may cover eye injuries caused by accidents, chemical splashes, flying debris, radiation, biological materials, and qualifying occupational exposures.
- Necessary and reasonable authorized medical treatment is generally paid by the employer or its workers’ compensation insurer.
- Employees unable to work for more than seven days may qualify for temporary total disability benefits. Once the disability extends beyond seven days, benefits generally become payable for the initial waiting period as well.
- Permanent vision loss may qualify for a scheduled permanent partial disability award. New Jersey schedules 200 weeks of compensation for the total loss of vision in one eye.
- Ordinary carelessness does not necessarily prevent an employee from receiving benefits. However, a specific defense may apply when an employee willfully refuses to use required protective equipment despite repeated warnings and that refusal causes the injury.
- A formal claim petition generally must be filed within two years, although the date from which the period runs can depend on whether the claim involves an accident, an occupational disease, or prior compensation payments.
Common Workplace Eye Injuries and Hazards
Eye injuries can occur in construction, manufacturing, health care, transportation, maintenance, laboratories, offices, and many other work environments. Common causes include:
- Chemical splashes from solvents, cleaning products, or industrial substances
- Corneal abrasions caused by metal shavings, wood particles, dust, or other flying debris
- Puncture wounds involving tools, machinery, or sharp materials
- Blunt-force trauma from falling objects, equipment, or workplace accidents
- Thermal burn injuries involving hot liquids, steam, furnaces, or welding equipment
- Exposure to ultraviolet, infrared, laser, or other potentially harmful radiation
- Eye infections caused by occupational exposure to biological materials
- Repetitive or prolonged workplace exposure that causes a qualifying occupational eye disease
The National Institute for Occupational Safety and Health reports that approximately 2,000 U.S. workers sustain job-related eye injuries requiring medical treatment each day.
For an eye condition that develops gradually, the employee generally must show that it was caused in a material degree by conditions characteristic of or peculiar to the employment. The diagnosis, nature of the exposure, and medical connection between the condition and the job will all be important.
Can You Qualify for Workers’ Comp for an Eye Injury in New Jersey?
An employee may qualify for benefits when an eye injury arises out of and in the course of employment. The injury does not necessarily have to occur at the employee’s usual job site, but it must have a sufficient connection to the employment.
An injury sustained while performing regular duties at the employer’s workplace will generally satisfy the course-of-employment requirement. Coverage may also apply when an employee is required to work away from the usual workplace and is directly performing an assigned duty.
Ordinary commuting generally falls outside workers’ compensation coverage under New Jersey’s premises rule. However, exceptions may apply depending on whether the employer required the travel, controlled the location, or authorized and required the use of a particular vehicle.
How Soon Should You Report a Workplace Eye Injury?
An employee should report an accidental eye injury to the employer as soon as possible. Notice can generally be given to a supervisor, manager, personnel office, or another person in authority. It does not ordinarily have to be in writing, although written notice can help document when the employer learned of the injury.
If the employer does not already know about the accident, no compensation is due until notice is given when the employee waits longer than 14 days. Notice provided within 30 days is generally protected unless the employer proves that a problem with the notice caused prejudice.
When notice is provided more than 30 but no later than 90 days after the accident, the employee generally must show that the delay resulted from a mistake, inability, ignorance of fact or law, or another reasonable cause. Compensation may also be limited to the extent that the employer proves it was prejudiced by the delay. Unless the employer obtains knowledge or receives notice within 90 days, compensation is generally barred.
Prompt reporting gives the employer an opportunity to investigate the accident, notify its insurance carrier, and arrange authorized treatment. It can also create a contemporaneous record of when the symptoms began and what workplace event may have caused them.
What Benefits Are Available for Work-Related Eye Injuries?
Depending on the severity and duration of the injury, an eligible employee may receive medical treatment, temporary wage replacement, and permanent disability benefits.
Necessary and reasonable authorized medical care related to the injury is generally paid by the employer or its workers’ compensation insurer. Covered care may include emergency treatment, examinations by an ophthalmologist or another specialist, prescription medication, diagnostic testing, surgery, and follow-up care. Medical benefits may be available even when the employee does not miss enough work to receive wage-replacement benefits.
If the injury disables the employee for more than seven days, the employee may qualify for temporary total disability benefits. These benefits are generally equal to 70% of the employee’s average weekly wage, subject to the state minimum and maximum rates in effect for the year of the injury.
When the period of disability extends beyond seven days, benefits generally become payable for the initial seven-day waiting period. Temporary benefits ordinarily continue while the employee remains unable to work and is receiving active medical treatment, until the employee returns to work, is released to return in some capacity, or reaches maximum medical improvement. New Jersey law limits temporary disability benefits to 400 weeks.
Medical Evidence for a New Jersey Eye Injury Claim
Medical evidence may be needed to establish the diagnosis, cause, treatment needs, work restrictions, and extent of an eye injury. The most relevant evidence will depend on the condition and the issues being disputed.
Evidence may include:
- The initial workplace incident report
- Emergency room or urgent care records
- Reports from an ophthalmologist, optometrist, or other authorized provider
- Visual-acuity and visual-field test results
- Slit-lamp, retinal, or intraocular-pressure findings
- Photographs or documentation of chemical exposure or foreign objects
- Surgical and prescription records
- Medical opinions addressing the connection between the workplace event and the eye condition
- Records describing work restrictions and the employee’s ability to return to the job
For permanent partial disability, New Jersey law requires a permanent impairment supported by demonstrable objective medical evidence that restricts the function of the body or one of its members or organs. Medical records and evaluations can help establish the degree of permanent functional loss, but they do not automatically determine the amount of an award. The percentage of disability may be negotiated, approved as part of a settlement, or determined by a workers’ compensation judge.
Can Vision Loss Lead to Permanent Disability Benefits?
A lasting work-related loss of vision may support a permanent partial disability award after the condition has stabilized and the extent of permanent impairment can be evaluated.
N.J.S.A. 34:15-12 provides 200 weeks of compensation for the total loss of vision in one eye. A qualifying partial loss of vision may be compensated proportionately under the statutory schedule, based on the legally established percentage of permanent loss of function and the applicable compensation rate.
The physical removal, or enucleation, of an eye may add 25 weeks of compensation to any award allowed for lost vision. The loss of both eyes from one accident is treated as permanent total disability under the statute. Permanent total disability may also be established when an injury or combination of injuries prevents an employee from returning to any type of gainful employment.
Can Failing to Wear Safety Glasses Affect Your Claim?
An employee’s ordinary negligence does not necessarily prevent the employee from receiving workers’ compensation. Forgetting protective eyewear on a single occasion, for example, does not automatically eliminate eligibility.
However, New Jersey law recognizes a specific defense involving the willful failure to use protective equipment. An employer may attempt to deny compensation by proving that:
- The employer supplied reasonable and proper protective equipment.
- Using the equipment was a clearly established and uniformly enforced condition of employment.
- The employee willfully failed to use it despite repeated warnings.
- The failure to use the equipment was a natural and proximate cause of the injury.
This defense does not apply when imminent danger or a need for immediate action prevented the employee from properly using the equipment. Similar rules may apply to occupational-disease claims involving willful exposure to a known hazard or repeated failure to use required protective equipment. Whether the defense applies depends on the specific circumstances and the evidence available to the employer.
What Should You Expect During an Independent Medical Examination?
An employer may require an injured employee to attend an independent medical examination at a reasonable time and place in New Jersey. The employer may request examinations as often as reasonably necessary under the circumstances.
The evaluating physician does not ordinarily provide treatment. Instead, the physician may offer opinions about:
- The diagnosis and cause of the eye condition
- Whether additional treatment is necessary
- The employee’s ability to work and any appropriate restrictions
- Whether the employee has reached maximum medical improvement
- Whether the injury caused permanent impairment
- The extent of any permanent loss of vision or function
The report may affect the insurer’s position on continued treatment, temporary disability benefits, or permanent disability. However, it does not automatically determine the outcome of a disputed claim.
The employee should attend the examination and provide an accurate account of the accident, symptoms, medical history, and limitations. Refusing to attend a reasonably requested examination may suspend the employee’s right to compensation during the refusal. New Jersey law also allows the employee, upon request, to have a physician of the employee’s choosing present to participate in the examination.
Third-Party Claims After Workplace Eye Injuries
Workers’ compensation is generally the exclusive remedy against an employer and co-workers for a compensable workplace injury, except in cases involving an intentional wrong. However, an injured worker may also pursue a claim against a negligent third party when someone outside the employment relationship contributed to the accident.
Potential third-party defendants may include:
- A subcontractor that created a dangerous condition
- A property owner responsible for an unsafe worksite
- The driver of a vehicle that struck an employee
- A manufacturer or seller responsible for defective machinery, tools, or protective equipment
- Another outside company whose employee caused the injury
The elements the employee must prove depend on the legal basis of the claim. A negligence claim generally requires proof that the third party breached a duty of care and caused the injury. A product-liability claim may involve a manufacturing defect, defective design, or inadequate warning.
A third-party claim may allow the worker to seek damages unavailable through workers’ compensation, including compensation for pain and suffering. However, if the worker obtains a third-party recovery, the employer or workers’ compensation insurer may have reimbursement and lien rights under N.J.S.A. 34:15-40.
What Are Your Options if an Eye Injury Claim Is Denied?
An injured employee may file a formal claim petition with the New Jersey Division of Workers’ Compensation when the employer or insurer disputes the claim. Disagreements may involve whether the injury was work-related, whether particular treatment is necessary, whether temporary benefits are owed, or whether the employee has a permanent disability.
Filing the petition begins the formal adjudicatory process. The case is assigned to a workers’ compensation judge who can evaluate medical evidence, hear testimony, oversee settlement discussions, and decide disputed issues.
After filing a claim petition, an employee may also file a Notice of Motion for Temporary and/or Medical Benefits when the employer or insurer refuses to provide treatment or temporary disability benefits. New Jersey provides a separate procedure for emergent medical treatment when the employee has requested care that the employer or insurer has not authorized and a physician certifies that delaying treatment would result in irreparable harm or damage.
How Long Do You Have to File a New Jersey Workers’ Compensation Claim?
For an accidental injury, a formal claim petition generally must be filed within two years of the accident or within two years of the last payment of compensation, whichever applicable date is later. The calculation may also be affected when the employer and employee entered into an agreement for compensation that the employer later failed to honor.
Medical treatment furnished or paid for by the employer or insurer may constitute a payment of compensation for purposes of the filing period. However, repairing or replacing a prosthetic device does not extend the deadline.
For an occupational disease, the employee generally must file within two years after first learning both the nature of the disability and its relationship to the employment. Because the correct starting date can be disputed, employees should not assume that they have additional time to act.
The notice deadline and claim-petition deadline are separate. Reporting an accidental injury within 90 days does not eliminate the need to comply with the applicable two-year filing period.
Does a Pre-Existing Vision Problem Prevent You From Receiving Benefits?
A pre-existing eye or vision condition does not automatically prevent an employee from receiving workers’ compensation. Benefits may be available when a workplace accident or qualifying occupational exposure caused, aggravated, or accelerated a disabling eye condition.
Medical evidence may be necessary to distinguish the employee’s prior level of vision and function from the changes caused by the workplace event. An insurer may dispute causation when the employee previously had glaucoma, cataracts, retinal disease, reduced vision, or another eye condition, but the existence of that condition alone does not determine whether the new injury is compensable.
Can You Choose Your Own Eye Doctor?
The employer or its workers’ compensation insurer generally has the right to select the authorized treating physician. Treatment from an unauthorized provider may not be covered merely because the employee preferred that provider.
Exceptions may apply when emergency treatment is necessary or when the employer improperly refuses or neglects to provide necessary care after receiving a request. In an emergency, the employee should obtain appropriate treatment and notify the employer as soon as reasonably possible.
If the authorized treatment is inadequate or the employer refuses necessary care, an employee may seek relief through the Division of Workers’ Compensation rather than changing doctors and assuming the resulting bills will be reimbursed.
Need Legal Help? Brandon J. Broderick, Attorney at Law, Is Here for You
At Brandon J. Broderick, Attorney at Law, we believe everyone deserves top-tier legal representation, regardless of their financial situation or the complexity of their case. You do not have to navigate a workplace eye injury claim alone. Our team can review the circumstances of your injury, explain your options, and help you pursue the benefits available under New Jersey law.
We are available 24/7 to listen to your story and provide compassionate guidance throughout the legal process. Contact us today. Schedule a free, no-obligation consultation.