Gaze-evoked amaurosis produced by intraorbital buckshot pellet

Objective: To report the first case of gaze-evoked amaurosis secondary to a n intraocular foreign body and to highlight the characteristic clinical fin dings of patients with this symptom. Design: Case report and review of the literature. Methods: Case review, clinical history electrophysiologic testing, and foll ow-up. Main Outcome Measures: Visual acuity, automated perimetry, and visual field s. Results: A case of gaze-evoked amaurosis as a result of an intraorbital for eign body is described, and 19 additional cases of gaze-evoked amaurosis ar e reviewed from the English language literature. These cases share certain characteristics including good vision in primary position with deterioratio n of vision in eccentric gaze; concurrent objective pupillary abnormalities in eccentric gaze; stereotypic onset and recovery of vision; and funduscop ic abnormalities consisting of disc edema and chorioretinal folds. Conclusions: Gaze-evoked amaurosis is a reliable sign of intraconal mass le sion. We report the first case of gaze-evoked amaurosis secondary to an int raorbital foreign body. Ophthalmology 2001;108:201-206 (C) 2001 by the Amer ican Academy of Ophthalmology.