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.
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Article info
Publication history
Published online: May 13, 2021
Accepted:
April 7,
2021
Received:
March 28,
2021
Identification
Copyright
© 2021 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
