The most frequent ocular findings in all injured eyes were vitreous haemorrhage 16(32.65%), superficial corneal FB 14(28.57%), cataract 12(24.48%), RD 8(16.32%) and
commotio retinae 8(16.32%) (Figure)
Initial examination revealed visual acuity of 1/60 in left eye with relative afferent pupillary defect (RAPD),
commotio retinae and vitreous hemorrhage.
89% of all subjects had subconjunctival haemorrhage, 7 subjects had minor peripheral
commotio retinae, and no subjects had corneal abrasions.
The authors describe in BMJ Case Reports how Nerf guns caused internal bleeding in the eye in all three cases, with an 11-year-old patient suffering corneal oedema, anterior uveitis, localised angle recession and
commotio retinae. The two adult patients had uveitis as well as hyphema.