Advertisement

Commotio retinae secondary to fragmented intraorbital pellets

      A 20-year-old man presented with multiple facial gunshot injuries. Visual acuities were 20/20 each eye, with full color vision and normal pupillary responses. Examination showed subconjunctival hemorrhage, mild anterior chamber inflammation, extensive commotio retinae involving the macula, and inferior retinal hemorrhages (Fig. 1A). Computer tomography (Figs. 1B–D) showed orbital emphysema and multiple fragmented left extraconal and intraconal pellets—one in close proximity to the posterior aspect of globe, adjacent to the optic nerve. The patient was managed conservatively with topical steroids/antibiotics and prophylactic systemic antibiotics. Visual function remained stable after 4 months and no surgical intervention was required.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Canadian Journal of Ophthalmology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect