Bilateral ocular injuries with globe perforation and retinitis sclopetaria from birdshot shotgun: A case report and review of the literature

摘要

Ocular damage sustained from gunshot injuries may present in several ways. Most commonly, patients present with a globe perforation with or without a retained intraocular foreign body. Alternately, a unique condition known as chorioretinitis sclopetaria may occur, with damage to the choroid and retina from shock waves produced by high velocity projectiles that pass between the globe and orbital wall [1]. This type of injury may be suspected with findings of orbital air, metal, and/or bone fragments on imaging and is confirmed by ophthalmic examination. The visual prognosis of chorioretinitis sclopetaria is generally poor and warrants full ophthalmic examination if suspected. This case report describes a patient with multiple ocular injuries sustained from a birdshot gunshot, including a globe perforation in one eye and chorioretinitis sclopetaria in the other eye.