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Revista de sanidad militar

Print version ISSN 0301-696X

Abstract

ARELLANO-GANEM, Miriam et al. Chorioretinitis sclopetaria managed with early pars plana vitrectomy. Case report. Rev. sanid. mil. [online]. 2018, vol.72, n.5-6, pp.339-343.  Epub Aug 23, 2019. ISSN 0301-696X.

Introduction

Chorioretinitis sclopetaria is a rare entity resulting from trauma by a high-velocity projectile that passed adjacent or through the orbit without penetrating the eyeball. It causes full-thickness chorioretinal damage and visual loss.

Objective

To present a clinical case of the entity treated in an unusual way, with a good result.

Case report

42 year-old male who mentioned a strong firearm detonation near the eyeball. Days later, he presented with visual loss, and hemovitreous was diagnosed. An ocular ultrasound was done, which reported retinal tear, so a pars plana vitrectomy was performed. At the end of the follow up, there was a visual ability to count fingers at 30 cm. Complementary studies were carried out to document the clinical findings, showing a choroidal fracture with macular involvement. Follow-up was carried up to four weeks after the intervention, without complications and with visual stability.

Conclusions

We present a case of chorioretinitis sclopetaria, which is scarcely reported; so far, this is the first case treated with early vitrectomy without later complications.

Keywords : Chorioretinitis sclopetaria; vitrectomy; choroidal fracture.

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