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Indian Journal of Ophthalmology logoLink to Indian Journal of Ophthalmology
. 2020 Oct;68(10):2261. doi: 10.4103/ijo.IJO_186_20

The chorioretinal “blast”

M Akhila 1, Brijesh Takkar 1,
PMCID: PMC7728038  PMID: 32971679

A 23-year-old male presented with ocular discomfort following a gun-shot injury to his left eye 3 months ago. Visual acuity was 20/20, and both eyes were normal on external and anterior examination [Fig. 1]. However, dilated fundus examination of the left eye revealed a large area of chorioretinal atrophy in nasal periphery surrounded by fibrosis and patches of subretinal hemorrhage, while retina was attached. Chorioretinitis sclopeteria was suspected and later confirmed after the detection of a metallic foreign body in the posterior orbit [Fig. 1].[1] There may be serious complications of ocular trauma, despite visual acuity being full of normal external ocular features.[2,3]

Figure 1.

Figure 1

Fundus photo of the left eye shows bare sclera with chorioretinal rupture and subretinal hemorrhages, whereas the CT scan shows the foreign body in the posterior orbit. Inset photo shows the normal external appearance of the eyeballs

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

  • 1.Ludwig CA, Shields RA, Do DV, Moshfeghi DM, Mahajan VB. Traumatic chorioretinitis sclopetaria: Risk factors, management, and prognosis. Am J Ophthalmol Case Rep. 2019;14:39–46. doi: 10.1016/j.ajoc.2019.02.004. [DOI] [PMC free article] [PubMed] [Google Scholar]
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