Spectral-domain optical coherence tomography features of bilateral chorioretinitis sclopetaria

The authors report a case of bilateral chorioretinitis sclopetaria in a 31-year-old man who sustained a perforating gunshot trauma. On presentation, best corrected visual acuity was light perception in the right eye and counting fingers at 5 feet in the left eye. Funduscopic examination demonstrated bilateral peripapillary fibrogliotic lesions with associated pigmentation in the posterior pole. Spectral-domain optical coherence tomography scans revealed bilateral full-thickness hyperreflectivity consistent with chorioretinal disruption. The patient was closely monitored, and his vision remained stable at 6-week follow-up.