Chorioretinitis sclopetaria presents a char acteristic pattern of choroidal
and retinal changes caused by a high velocity projectile passing into the
orbit, in close proximity to the globe. While it is unlikely that a patient
should completely forget the trauma causing such damage, preserved or comp
ensated visual function may blur the patient's memory of these events over
time. Characteristic physical findings help to clarify the antecedent histo
ry. Despite the lack of an acknowledged history of ocular trauma or surgery
, in our case, the characteristic ocular findings discovered at presentatio
n allowed for recognition of the underlying etiology. Because of good visua
l function, the patient had completely forgotten about the trauma that occu
rred 12 years earlier. Strabismus surgery was performed for treatment of th
e presenting symptomatic diplopia. The pathognomonic findings in chorioreti
nitis sclopetaria are invaluable in correctly diagnosing this condition, es
pecially when a history of ocular trauma is unavailable.