BB embolus causing monocular blindness in a 9-year-old boy.

Pacio, Christina I; Murphy, Marjorie A · Am J Ophthalmol · 2002

case_report · Level V

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Abstract

To report a case of monocular blindness resulting from intravascular bullet migration. Observational case report. A 9-year-old boy presented to the emergency room with a penetrating BB gun injury to the chest. Carotid angiography localized the bullet to the right internal carotid artery. He subsequently suffered blindness in the right eye, a right pupil-involving third nerve palsy, left hemiparesis, and a probable left homonymous hemianopia. BB gun injuries may result in devastating ophthalmologic as well as systemic consequences due to bullet embolization.

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