Concomitant Optic Nerve Transection and Chorioretinitis Sciopetaria

ABSTRACT

To report the first case of concomitant optic nerve transection and chorioretinitis Sclopetaria. A 12-year-old boy with history of BB gun injury to his right eye was referred for loss of vision 8 months after the accident. Visual acuity in the right eye was counting fingers at one meter with 3+ RA PD. On slit lamp examination, right eye seemed normal except 1+ anterior vitreous reaction. Fundus exam of right eye revealed a pale disc with superior retinal scar and diffuse submacular fibrosis compatible with chorioretinitis sclopetaria and advanced optic atrophy. Orbital CT-scan showed transection of the optic nerve by the BB gun pellet at the orbital apex.BB gun injury may cause concomitant optic nerve transection and chorioretinitis sclopetaria