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Year : 2019  |  Volume : 7  |  Issue : 2  |  Page : 81-83

Retinitis sclopetaria in blast injury

Department of Ophthalmology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Maithili Mishra
Department of Ophthalmology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcor.jcor_64_18

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A 52-year-old male presented with decreased vision in his left eye for 1.5 years after he suffered from a blast injury at his workplace in a chemical factory. Clinical examination revealed no systemic abnormality; however, ocular evaluation of the left eye showed traumatic mydriasis of the pupil and fundus examination showed multiple choroidal ruptures with extensive scar formation and widespread pigmentary alteration, causing a distinctive pattern of retinitis sclopetaria. Closed globe injury, especially blast injury, which has a high velocity causes a typical pattern of retinal findings. Our patient did not develop retinal detachment even after 1.5 years of trauma; however, macular involvement caused poor vision and prognosis. Spectral-domain optical coherence tomography did not reveal any abnormal choroidal neovascularization. Retinitis sclopetaria is an uncommon entity, and long-term clinical outcomes are not well reported. In this report, we would like to discuss the clinical features seen after a long-standing trauma, injury mechanism, suggested treatment, and prognosis.

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