01/22/2026
(Chorioretinitis Sclopetaria) is a severe eye injury from a high-velocity object (like a BB gun pellet or bullet) passing in the orbit near the eye, causing shockwaves that rupture the retina and choroid but leave the outer sclera intact, often with significant bleeding and scarring, resulting in vision loss. It’s characterized by a full-thickness break where these inner layers tear away, leaving bare sclera visible, though retinal detachment is surprisingly rare due to firm adhesions.
This patient presented initially with vitreous hemorrhage that cleared on its own, but visual acuity remained limited to count fingers due to macular scarring and atrophy.