BMJ Case Reports 2017; doi:10.1136/bcr-2017-220967
  • Unexpected outcome (positive or negative) including adverse drug reactions

Nerf gun eye injuries: traumatic hyphema

  1. Seema Verma
  1. Accident & Emergency Department, Moorfields Eye Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Mukhtar Bizrah, m.bizrah{at}
  • Accepted 20 July 2017
  • Published 18 September 2017


Three unrelated patients attended the accident and emergency department with pain and blurred vision after ocular injury with a Nerf gun. Two were adults and one was a child, all of which presented within a 3 months’ period. All three cases were found to have ≥1 mm of traumatic hyphema (pooling of blood in anterior chamber of the eye), indicating significant ocular trauma. The two adult patients had formed hyphema and uveitis. The 11-year-old child had formed hyphema, corneal oedema, anterior uveitis, localised angle recession and commotio retinae, which further highlight the severity of the ocular trauma. Significant Nerf gun ocular injuries are not reported in the literature, as far as we know. This case series serves to raise awareness of the seriousness of Nerf gun ocular injuries. It encourages further exploration of reasons for such injuries, as well as a review of protective measures against ocular trauma.


  • Contributors MB wrote the case series report. SV edited the report and approved the final version.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Press Release I have been sent an email stating the article has been accepted for press release

Responses to this article

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article