A 25-year-old male was referred to our ophthalmology service after accidentally shooting himself in the right periocular area with a BB pellet gun. According to the patient, the gun had fired a single spherical, red plastic BB pellet approximately 5 mm in diameter. He experienced immediate decreased vision and floaters and was initially seen in a peripheral emergency department. He did not recover the BB. A computed tomography (CT) scan of the orbits performed at the peripheral hospital was reported as negative for a foreign body.