The chorioretinal "blast".

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.[23]

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

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