The authors report a case of unilateral, stable, localized, and well-circum
scribed choriocapillaris atrophy associated with retinal pigment epithelium
dispersion and atrophy. The anterior segment was normal. Facial examinatio
n revealed a homolateral malar hypoplasia. The other eye was normal. The el
ectrophysiologic study did not confirm pigmentary degeneration of the retin
a. The patient's history included a difficult delivery using obstetrical fo
rceps. The authors review the main ocular lesions secondary to birth trauma
. In this case, they favored a traumatic chorioretinal lesion secondary to
an obstetrical traumatism. In this context, progressive facial hemiatrophy
is the main differential diagnosis.